Provider Demographics
NPI:1083645758
Name:TRIPLETT, PHILLIP REGINALD II (DO)
Entity type:Individual
Prefix:
First Name:PHILLIP
Middle Name:REGINALD
Last Name:TRIPLETT
Suffix:II
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 KANAWHA BLVD E STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-2400
Mailing Address - Country:US
Mailing Address - Phone:304-400-4900
Mailing Address - Fax:304-400-4907
Practice Address - Street 1:1120 KANAWHA BLVD E STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-2400
Practice Address - Country:US
Practice Address - Phone:304-400-4900
Practice Address - Fax:304-400-4907
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1767207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine