Organization · Type 2 NPI
Kevin C. Lucky DDS PLLC
Dental Clinic/Center · Beckley, WV
NPI number
1235258757
Active
Practice location
1110 Johnstown Road
Beckley, WV 25801
Fax (304) 255-0956
Mailing address
832 Broad Street
Summersville, WV 26651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Beckley
About NPI 1235258757
Kevin C. Lucky DDS PLLC's National Provider Identifier is 1235258757, issued on Mar 28, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Beckley, WV. The record was last updated on Aug 22, 2020.