Kenneth Andrew Pearson, MD Valid NPI
Individual provider · Family Medicine Physician · Charleston, WV
- NPI
- 1679701023
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 323657 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-06-24
- Last updated
- 2020-08-03
Practice location
3200 Maccorkle Ave Se Ste B16
Charleston, WV 25304-1227
(304) 388-5848