Kiesha Marie Bullough PA-C

  • NPI 1700113412
According to our database, the NPI number for Kiesha Marie Bullough PA-C is 1700113412 and activated since 14 years ago. Kiesha Marie Bullough PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 700 Oakmound Rd, Clarksburg, WV 26301. You can also contact Kiesha Marie Bullough PA-C via telephone number is (304) 623-6330. Provider NPI information was last updated on 06/17/2016.

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Overview of Kiesha Marie Bullough PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/17/2009
  • Last updated: 06/17/2016

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 01444
  • License State: WV

Provider Mailing Address

  • Address: 700 Oakmound Rd
    Clarksburg, WV 26301
  • Phone: 304-623-6330
  • Fax: 304-623-6220

Provider Practice Location

  • Address: 700 Oakmound Rd
    Clarksburg, WV 26301
  • Phone: 304-623-6330
  • Fax: 304-623-6220

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 01444
  • License State: WV
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 3810016314
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WV
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kiesha Marie Bullough PA-C?
  • A: The npi number for Kiesha Marie Bullough PA-C is 1700113412.
  • Q: What are Kiesha Marie Bullough PA-C's specialties?
  • A: Kiesha Marie Bullough PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Kiesha Marie Bullough PA-C?
  • A: The medical license number for Kiesha Marie Bullough PA-C is 01444 and issued in WV in USA.
  • Q: Where is Kiesha Marie Bullough PA-C practice location?
  • A: Kiesha Marie Bullough PA-C is practicing at 700 Oakmound Rd, Clarksburg, WV 26301.
  • Q: How to contact Kiesha Marie Bullough PA-C?
  • A: You can contact Kiesha Marie Bullough PA-C via 304-623-6330.