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1770182354
KEVIN S IVORY
CLARKSBURG, WV
NPI
1770182354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-10-23
Last Update Date
2022-02-12
Business Address
Mr. KEVIN S IVORY PA-C
700 OAKMOUND RD
CLARKSBURG, WV 26301-9398
Phone number: 304-623-6330
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Mailing Address
Mr. KEVIN S IVORY PA-C
700 OAKMOUND RD
CLARKSBURG, WV 26301-9398
Phone number:
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