Kelly M Pitsenbarger MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KELLY M PITSENBARGER MD

Practice address

314 George St
Beckley, WV 25801-2653

Phone

(304) 255-2426

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelly M Pitsenbarger

Title

Owner

Phone

(304) 255-2426

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1871782250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012653",
            "telephone_number": "304-255-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY M PITSENBARGER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "PITSENBARGER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-255-2426",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057171000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin Owen Keeney, PHARM.D.
• Hannah Davidson Keeney, PHARMD
• Emily Anne Keith, PHARMD
• Laurie Leigh Keller
• Arlene Kelley
• Michael Anthony Kelly, MD
• Heather Kennedy
• Jasmine Kenney
• Sudhakar Kesari, MD
• Ramonia Kessinger

• Family Medicine Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.