Healthcare Provider Details

I. General information

NPI: 1104811066
Provider Name (Legal Business Name): DAVID A KAPPEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2005
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MEDICAL PARK SUITE 200
WHEELING WV
26003-6392
US

IV. Provider business mailing address

40 MEDICAL PARK SUITE 200
WHEELING WV
26003-6392
US

V. Phone/Fax

Practice location:
  • Phone: 304-242-0590
  • Fax: 304-242-9740
Mailing address:
  • Phone: 304-242-0590
  • Fax: 304-242-9740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number10951
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number35047379
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number10951
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number3504379
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: