Provider Demographics
NPI:1700051380
Name:DRIVER, KEVIN A (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:A
Last Name:DRIVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3100 MACCORKLE AVE SE STE 900
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1223
Mailing Address - Country:US
Mailing Address - Phone:304-388-5880
Mailing Address - Fax:304-388-5858
Practice Address - Street 1:3100 MACCORKLE AVE SE STE 900
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304
Practice Address - Country:US
Practice Address - Phone:304-388-5880
Practice Address - Fax:304-388-5858
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2019-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV27658207RC0001X, 207RC0000X, 207RC0001X, 207RC0000X, 207RC0001X
KY48128207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease