| # |
Taxonomy Code |
Taxonomy |
License Number |
License Number State |
| 1 | 363A00000X | Physician Assistant | | KY |
| 2 | 363AM0700X | Medical Physician Assistant | | |
| 3 | 207Q00000X | Family Medicine Physician | | WV |
| 4 | 324500000X | Substance Abuse Rehabilitation Facility | | |
| 5 | 363LF0000X | Family Nurse Practitioner | | WV |
| 6 | 207P00000X | Emergency Medicine Physician | | |
| 7 | 207Q00000X | Family Medicine Physician | | KY |
| 8 | 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | | |
| 9 | 363LP2300X | Primary Care Nurse Practitioner | | |
| 10 | 363LF0000X | Family Nurse Practitioner | | OH |
| 11 | 261QU0200X | Urgent Care Clinic/Center | | |
| 12 | 363L00000X | Nurse Practitioner | | |
| 13 | 363LF0000X | Family Nurse Practitioner | | KY |
| 14 | 207Q00000X | Family Medicine Physician | 1222241 | OH |