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General NPI Number Information
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NPI Number | 1508726654
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Entity Type | Organization
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Legal Business Name | KLPNP LLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 21 SOLD TEAM WAY
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City | RIDGELEY
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State | WV
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Zip | 26753-5020
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Country | US
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Telephone | 240-624-6694
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Fax | 833-340-2409
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Provider Business Mailing Address
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Address Line | 160 SHADY HILL LN
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City | WILEY FORD
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State | WV
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Zip | 26767-8016
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Country | US
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Telephone | 240-624-6694
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Fax | 833-340-2409
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Authorized Official
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Title or Position | OWNER
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Name | KAYLA DOLLY
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Credential | APRN
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Telephone | 304-709-2471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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