person
Mr. Kenneth Neil Dippel, PA-C
Medical Physician Assistant in Charleston, West Virginia
NPI 1073662664

Kenneth Neil Dippel is a Medical Physician Assistant based in Charleston, WV and is specialized in Medical. Kenneth Neil Dippel practices in Charleston, WV and has the professional credentials of PA-C. The NPI Number for Kenneth Neil Dippel is 1073662664 and holds a License No. 00710 (West Virginia).

The current practice location address for Kenneth Neil Dippel is 3200 Maccorkle Ave. Se, Charleston, WV and can be reached out via phone at 304-388-8199 and via fax at 304-388-8195. You can also correspond with Kenneth Neil Dippel through the mailing address at 811 SOMERSET DR, CHARLESTON, WV - 25302-2735 (mailing address contact number: 304-346-4311).

Location: 3200 Maccorkle Ave. Se, Charleston, WV, 25302-2735
person
Provider Profile Details
NPI Number
1073662664
Provider Name
Kenneth Neil Dippel
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3200 Maccorkle Ave. Se, Charleston, WV, 25302-2735
Phone Number
304-388-8199
Fax Number
304-388-8195
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Ave. Se
City
State
Zip
25304
Phone Number
304-388-8199
Fax Number
304-388-8195
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Ave. Se
City
State
Zip
25304
Phone Number
304-388-8199
Fax Number
304-388-8195
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
00710 (West Virginia)
Definition
Definition to come...
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