Doctor Name: | KEVIN S OXLEY |
NPI Number: | 1447457825 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 22083 |
Business Practice Address: | 527 Medical Park Dr Ste 401 Bridgeport, WV - 263309010 |
Business Phone Number: | 6813423570 |
Business Fax Number: | 6813423575 |
Mailing Address: | 527 Medical Park Dr Ste 401, BRIDGEPORT |
State: | WV |
Postal Code: | 263309010 |
Phone Number: | 6813423570 |
Fax Number: | 6813423575 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 22083 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |