IndividualActive
Michelle Endicott, DO
NPI 1699774315 · Dermatology Physician · South Charleston, WV
Provider details
- NPI number
- 1699774315
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2097 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4815 Kanawha Ave Sw
South Charleston, WV 25309-1207
Phone: (304) 768-4567
Fax: (304) 768-2277
Approximate (ZIP-level) locationGet directions
Mailing address
4815 Kanawha Ave Sw
South Charleston, WV 25309-1207
Registry dates
- Enumerated
- 2005-07-14
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.