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Contact Information

KEVIN S PERDUE, PRSS
2333 MACCORKLE AVE
SAINT ALBANS, WV25177-2073
 Phone: 304-360-2225
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KEVIN S PERDUE · (Male)

NPI Number 1043770548
Status Active
Credentials PRSS
Entity Individual
Enumeration date 03/21/2019
Last updated 05/06/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # CDCA.169622
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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