OrganizationActive
Greenbrier Valley Urology Associates, Inc
NPI 1386630408 · Urology Physician · Ronceverte, WV
Provider details
- NPI number
- 1386630408
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle Fort, MD President(304) 647-5642
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
119 Maplewood Ave
Ronceverte, WV 24970-9737
Phone: (304) 647-5642
Fax: (304) 647-5644
Approximate (ZIP-level) locationGet directions
Mailing address
119 Maplewood Ave
Ronceverte, WV 24970-9737
Registry dates
- Enumerated
- 2005-09-23
- Last updated
- 2014-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.