| Dr Kelly W Dunavant, DO | |
|
597 Liberty St, West Milford, WV 26451-6801 | |
| (304) 745-4568 | |
| (304) 326-3700 |
| Full Name | Dr Kelly W Dunavant |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 597 Liberty St, West Milford, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609047109 | NPI | - | NPPES |
| 2195 | Other | WV | WV MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2195 (West Virginia) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 2195 (West Virginia) | Primary |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609042266 PECOS PAC ID: 0446232987 Enrollment ID: O20040607001043 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1164653457 PECOS PAC ID: 0446232987 Enrollment ID: O20071024000166 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104175058 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000494 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821349309 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000532 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912258492 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000561 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699024547 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000587 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104177674 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000624 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396096863 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000634 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619103041 PECOS PAC ID: 0446232987 Enrollment ID: O20130829000868 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770917577 PECOS PAC ID: 0446232987 Enrollment ID: O20131219001230 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619316999 PECOS PAC ID: 0446232987 Enrollment ID: O20140226000347 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356780639 PECOS PAC ID: 0446232987 Enrollment ID: O20140226002236 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073944658 PECOS PAC ID: 0446232987 Enrollment ID: O20140320000490 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649610437 PECOS PAC ID: 0446232987 Enrollment ID: O20140331000001 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992144273 PECOS PAC ID: 0446232987 Enrollment ID: O20140407000404 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649610445 PECOS PAC ID: 0446232987 Enrollment ID: O20140407001269 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477992915 PECOS PAC ID: 0446232987 Enrollment ID: O20140407001553 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386083673 PECOS PAC ID: 0446232987 Enrollment ID: O20140508002191 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053742668 PECOS PAC ID: 0446232987 Enrollment ID: O20140513002114 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063808418 PECOS PAC ID: 0446232987 Enrollment ID: O20150911002252 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346636792 PECOS PAC ID: 0446232987 Enrollment ID: O20150911002429 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851787121 PECOS PAC ID: 0446232987 Enrollment ID: O20151202000130 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619348844 PECOS PAC ID: 0446232987 Enrollment ID: O20160310000180 |
| Entity Name | Community Care Of West Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700252764 PECOS PAC ID: 0446232987 Enrollment ID: O20160329001474 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly W Dunavant, DO 597 Liberty St, West Milford, WV 26451-6801 Ph: (304) 745-4568 | Dr Kelly W Dunavant, DO 597 Liberty St, West Milford, WV 26451-6801 Ph: (304) 745-4568 |