NPI 1124050562 · live from the CMS NPI Registry
Johnny Dy, MD
Psychiatry & Neurology, Neurology in Beckley, WV. National Provider Identifier 1124050562, active.
NPI record
| NPI | 1124050562 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 401 S Kanawha Street, Beckley, WV 25801 |
| Practice phone | 304-252-0699 |
| Mailing address | 2401 S Kanawha Street, Beckly, WV 25801 |
| Enumerated | July 7, 2006 |
| Last updated | February 26, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 10072 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.