Healthcare Provider Details

I. General information

NPI: 1285037747
Provider Name (Legal Business Name): DARRYLA KINSER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2014
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E 2ND AVE STE 100
WILLIAMSON WV
25661-3601
US

IV. Provider business mailing address

PO BOX 390
HUNTINGTON WV
25708-0390
US

V. Phone/Fax

Practice location:
  • Phone: 304-443-0234
  • Fax:
Mailing address:
  • Phone: 304-429-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1096979
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4042784
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: