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General NPI Number Information
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NPI Number | 1235388703
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Entity Type | Individual
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Provider Name | HEATHER J KAY CFNP
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Gender | Female
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 512A CHURCH ST S
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City | RIPLEY
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State | WV
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Zip | 25271-1616
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Country | US
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Telephone | 304-372-1033
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Fax | 304-373-0223
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Provider Business Mailing Address
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Address Line | 606 WASHINGTON ST
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City | RAVENSWOOD
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State | WV
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Zip | 26164-1730
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Country | US
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Telephone | 304-273-1033
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Fax | 304-273-1034
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 63927
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN63927NP
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License Number State | WV
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