Kelley Tallman, Jane E

Kelley Tallman, Jane E is an individual health care provider with primary practice located at 100 Taylor Ln , Ronceverte WV 24970-1337. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kelley Tallman, Jane E can be contacted via phone (304) 647-3434.

Contact Information

Primary practice address
100 Taylor Ln Ronceverte WV 24970-1337
Phone: (304) 647-3434
Fax: (304) 647-9789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1770 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1770 West Virginia

Profile Details

NPI number 1700877412
LBN Legal business name Kelley Tallman, Jane E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Apr 24th, 2009 - about 17 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 1700877412 NPPES
West Virginia Other 001721727 BC
West Virginia Other 1048076 BC
West Virginia MEDICAID 5600556000 BC
West Virginia Other P00049529 BC

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