Wides, Kathleen

Wides, Kathleen is an individual health care provider with primary practice located at 500 Cherry St , Bluefield WV 24701-3306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wides, Kathleen can be contacted via phone (304) 332-7110.

Contact Information

Primary practice address
500 Cherry St Bluefield WV 24701-3306
Phone: (304) 332-7110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15161WV West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15161WV West Virginia

Profile Details

NPI number 1700838968
LBN Legal business name Wides, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 17th, 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 1700838968 NPPES
Virginia MEDICAID 010275598
Virginia Other 000023444
Virginia Other 3001599
Virginia MEDICAID 0071366000

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