Healthcare Provider Details
I. General information
NPI: 1275600793
Provider Name (Legal Business Name): MARY KATHRYN SAVILLE RN, BSN, ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
208 7TH AVE
SOUTH CHARLESTON WV
25303-1510
US
IV. Provider business mailing address
208 7TH AVE
SOUTH CHARLESTON WV
25303-1510
US
V. Phone/Fax
- Phone: 304-414-3629
- Fax: 304-414-3633
- Phone: 304-414-3629
- Fax: 304-414-3633
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | 41329 |
| License Number State | WV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC0400X |
| Taxonomy | Case Management Registered Nurse |
| License Number | 41329, MBA |
| License Number State | WV |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC1500X |
| Taxonomy | Community Health Registered Nurse |
| License Number | 41329, MBA |
| License Number State | WV |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC3500X |
| Taxonomy | Cardiac Rehabilitation Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WE0003X |
| Taxonomy | Emergency Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WE0900X |
| Taxonomy | Enterostomal Therapy Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WG0100X |
| Taxonomy | Gastroenterology Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WG0600X |
| Taxonomy | Gerontology Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WH1000X |
| Taxonomy | Hospice Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0000X |
| Taxonomy | Pain Management Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WW0101X |
| Taxonomy | Ambulatory Women's Health Care Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 13 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0200X |
| Taxonomy | Oncology Registered Nurse |
| License Number | 41329 |
| License Number State | WV |
| # 14 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | ND CLAYTON COLLEGE |
| License Number State | AL |
| # 15 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175L00000X |
| Taxonomy | Homeopath |
| License Number | ND CLAYTON COLLEGE |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
