Carroll, Kathy D

Carroll, Kathy D is an individual health care provider with primary practice located at 115 Rosemar Rd Suite 1, Parkersburg WV 26104-7658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carroll, Kathy D can be contacted via phone (304) 422-5600.

Contact Information

Primary practice address
115 Rosemar Rd Suite 1 Parkersburg WV 26104-7658
Phone: (304) 422-5600
Fax: (304) 422-5993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 30461 West Virginia

Profile Details

NPI number 1154438844
LBN Legal business name Carroll, Kathy D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154438844 NPPES
West Virginia MEDICAID 3810000585

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