KEVIN SANSOM

HUNTINGTON, WV
NPI1780385112
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  2996)
Enumeration Date2023-03-13
Last Update Date2023-04-14
Business Address
Mr. KEVIN SANSOM PA-C
1340 HAL GREER BLVD
HUNTINGTON, WV 25701-3804
Phone number: 304-399-6727
Mailing Address
Mr. KEVIN SANSOM PA-C
1303 PETER CAVE RD
GENOA, WV 25517-7732
Phone number: 304-633-1940