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General NPI Number Information
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NPI Number | 1891594099
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Entity Type | Individual
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Provider Name | KAYLA BETH LOVEJOY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2233 S KANAWHA ST
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City | BECKLEY
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State | WV
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Zip | 25801-5507
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Country | US
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Telephone | 304-250-7611
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1942
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City | PINEVILLE
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State | WV
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Zip | 24874-1942
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Country | US
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Telephone | 304-673-9492
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 122231
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License Number State | WV
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