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Shane Harless, DO

Family Medicine in Beckley, WV. Individual provider (NPI-1).

NPI number1184513541
StatusActive
Last updated in NPPESJul 1, 2025

Details

NPI
1184513541
Entity type
Individual (NPI-1)
Name
Shane Harless
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jul 1, 2025
Certification date
Jul 1, 2025
Last updated
Jul 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineED01398AWVYes

Practice location

252 Rural Acres Dr
Beckley, WV 25801-3503

Phone 304-255-8551

Mailing address

1023 River Rd
Rainelle, WV 25962-6569

Phone 304-640-8069

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