Individual provider · Type 1 NPI

Kenneth Neil Dippel, P.A. -C

Medical Physician Assistant · Charleston, WV

NPI number 1073662664 Active

Practice location

3200 Maccorkle Ave. SE, Camc Memorial Hospital
Charleston, WV 25304

Call (304) 388-8199 Map

Fax (304) 388-8195

Mailing address

811 Somerset Dr
Charleston, WV 25302-2735

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X00710 (WV)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1073662664

Kenneth Neil Dippel, P.A. -C's National Provider Identifier is 1073662664, issued on Jan 10, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charleston, WV. The record was last updated on Jul 8, 2007.