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NPI Code Detail

MEDICARE: KAR MD

MEDICARE: KAR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist20839WV

General Provider Information

NPI Number : 1437364395
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAR MD
Provider Business Mailing Address
First Line : 3100 MACCORKLE AVE SE STE 201
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1228
Country : US
Telephone Number : 304-342-3360
Fax Number : 304-342-3363
Provider Business Practice Location Address
First Line : 3100 MACCORKLE AVE SE STE 201
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1228
Country : US
Telephone Number : 304-342-3360
Fax Number : 304-342-3363
Authorized Official
Title or Position : OWNER
Name : DR. KIMBERLY A ROSSI
Credential : MD
Telephone Number : 304-342-3360
Provider Enumeration Date : 05/14/2007
Last Update Date : 09/17/2012

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Directions to “KAR MD ” Practice Location

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