Active NPI
Kevin Durking
- Peer Specialist
- Clarksburg, WV
National Provider Identifier
1245038736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 25-927SUD
- Practice address
- 6 Hospital PLZ
Clarksburg, WV 26301-9316 - Phone
- (304) 623-5666
- NPI assigned
- Mar 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 25-927SUD | WV | Primary |
Addresses
Primary practice location
6 Hospital PLZ
Clarksburg, WV 26301-9316
Mailing address
56 Elkton St
Belington, WV 26250-8105
Phone (681) 526-9079
Other practice location 1
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-927SUD | WV | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1245038736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 ELKTON ST",
"city": "BELINGTON",
"state": "WV",
"postal_code": "262508105",
"telephone_number": "681-526-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 HOSPITAL PLZ",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263019316",
"telephone_number": "304-623-5666"
}
],
"practiceLocations": [
{
"address_1": "327 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263309006",
"country_code": "US",
"telephone_number": "681-342-1117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURKING",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": "25-927SUD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.