| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780039735 | BOGDANSKY | KEVIN | 1370 JOHNSON AVE STE 102 | BRIDGEPORT | WV | 263301492 | ||
| 1568810901 | KASSON | LINDSAY | 1370 JOHNSON AVE STE 102 | BRIDGEPORT | WV | 263301492 | ||
| 1265840334 | KHAN | MUHAMMAD | USMAN | 1370 JOHNSON AVE STE 102 | BRIDGEPORT | WV | 263301492 | |
| 1639306491 | KHAN | NADIA | N | 1370 JOHNSON AVE STE 102 | BRIDGEPORT | WV | 263301492 | |
| 1750724944 | LATOS | JAMIE | CHRISTOPHER | 1370 JOHNSON AVE STE 102 | BRIDGEPORT | WV | 263301492 |