MR. KENNETH NEIL DIPPEL P.A. -C NPI 1073662664

NPI Information

NPI: 1073662664
Provider Name: MR. KENNETH NEIL DIPPEL, P.A. -C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: CHARLESTON AREA MEDICAL CENTER INC

PECOS Registration: Yes

Address:
3200 MACCORKLE AVE. SE
CAMC MEMORIAL HOSPITAL
CHARLESTON, WV
ZIP 25304
Phone: (304) 388-8199
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MR. Kenneth Neil Dippel, P.A. -C is a medical physician assistant in Charleston, WV with 26 years of experience. MR. Kenneth Neil Dippel, P.A. -C NPI is 1073662664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3200 MACCORKLE AVE. SE
CAMC MEMORIAL HOSPITAL
CHARLESTON, WV
ZIP 25304
Phone: (304) 388-8199
Fax: (304) 388-8195

The NPI 1073662664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	00710	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DIPA79031	MEDICARE ID-TYPE UNSPECIFIED
2	S95969	MEDICARE UPIN	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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