Individual provider Active NPI

Kelly E Allen-Lopez, DO

  • Family Medicine Physician
  • Hurricane, WV
National Provider Identifier
1659711166
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2871 Issued in WV
Practice address
563 State Route 34
Hurricane, WV 25526-7000
Phone
(304) 757-5063
Fax
(304) 438-6759
NPI assigned
Jun 28, 2013
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2871 WV Primary

Addresses

Primary practice location

563 State Route 34
Hurricane, WV 25526-7000

Mailing address

563 State Route 34
Hurricane, WV 25526-7000
Phone (304) 757-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302000715 WV Practitioner - Family PracticePractitioner - General Practice 7214151372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

208 Maccorkle Ave SE
Charleston, WV 25314-1160
Phone 304343430099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
WV Asthma and Allergy Centers, Inc. CurrentSince Sep 2, 2025 Accepting new patients
WV Asthma and Allergy Centers, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Community Health Systems Inc CurrentSince Dec 2, 2014 Accepting new patients
WV Asthma and Allergy Centers, Inc. Current Accepting new patients
Community Health Systems, Inc. CurrentSince Dec 2, 2014 Accepting new patients
Urgent Care, Inc. - West Virginia PastSince May 21, 2023 Accepting new patients

Locations

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

208 Maccorkle Ave SE
Charleston, WV 25314
Phone (304) 343-4300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1659711166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 STATE ROUTE 34",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255267000",
            "telephone_number": "304-757-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 STATE ROUTE 34",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255267000",
            "telephone_number": "304-757-5063",
            "fax_number": "304-438-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN-LOPEZ",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

Verify at the official NPI Registry.