Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kevin S Ivory, PA-C

Individual provider Physician Assistant · NPI 1770182354

Mr. Kevin S Ivory, PA-C is a Physician Assistant in Clarksburg, West Virginia. Qualified in 2020, 6 years ago. Practices with Community Care of West Virginia, Inc, a 87-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone: (304) 623-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1770182354
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2020
Last updated in NPPESFebruary 12, 2022
Certification dateFebruary 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Care Of West Virginia, Inc. — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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