Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY MCCOY PITSENBARGER, MD
Active Sole ProprietorMR. KELLY MCCOY PITSENBARGER, MD is a Family Medicine healthcare provider located in SHADY SPRING, West Virginia. NPI 1023004744 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHADY SPRING, WV
Registration Details
- NPI Number
- 1023004744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2005 (20.870863551408 yrs)
- Last Updated
- Oct 23, 2024
- License
-
WV13927 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
126 CARPENTER STSHADY SPRING, WV, 259188417Browse WV providers · Browse ZIP 25918
- Phone
- 3042552426
- Fax
- 3042533715
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.