# DRS RW & JA LOVE MEMORIAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336113109
- **Authorized official:** BARBARA ANN HARPER (OFFICE MANAGER)
- **Authorized official phone:** (304) 530-7755

## Contact information

- **Practice address:** 112 KUYKENDALL LN, MOOREFIELD, WV 26836-1167
- **Practice address phone:** (304) 530-7755
- **Practice address fax:** (304) 530-7756
- **Mailing address:** 112 KUYKENDALL LANE, MOOREFIELD, WV 26836
- **Mailing address phone:** (304) 530-7755
- **Mailing address fax:** (304) 530-7756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2006
- **Last updated:** 07/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0034507000 | — | WV |