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NPI Code Detail

MEDICARE: KASEY MOWERY APRN

MEDICARE:   KASEY  MOWERY  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner113669WV

General Provider Information

NPI Number : 1639611882
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASEY MOWERY APRN
Provider Business Mailing Address
First Line : PO BOX 97
Second Line :
City : BAKER
State : WV
Zip : 26801-0097
Country : US
Telephone Number : 304-897-5915
Fax Number : 304-897-8472
Provider Business Practice Location Address
First Line : 422 S MAIN ST
Second Line :
City : MOOREFIELD
State : WV
Zip : 26836-1238
Country : US
Telephone Number : 304-538-2331
Fax Number : 304-538-2533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2016
Last Update Date : 11/01/2023

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Directions to “ KASEY MOWERY APRN” Practice Location

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