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Lively Pediatrics, Pllc

Pediatrics Physician in Princeton, WV · enumerated 2021 · authorized official Ryan Mitchell, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063006047

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Registry record

Entity type Organization (Type 2)
Legal business name Lively Pediatrics, Pllc
Practice address 608 New Hope Rd Ste 7, Princeton, WV, 24740
Phone (304) 913-3160
Fax (855) 618-2212
Enumeration date Feb 21, 2021
Last updated in NPPES May 10, 2021

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ryan Mitchell
Title Office Manager
Phone (304) 952-2087

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-05-10. Verify at npiregistry.cms.hhs.gov.
Where is Lively Pediatrics, Pllc located?
The practice location on file with NPPES is in Princeton, WV.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-10.