Individual
KEITINA DONAHUE-LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1400 HOSPITAL DR, HURRICANE, WV 25526-9202
(304) 757-1700
Mailing address
RR 1 BOX 37, MILTON, WV 25541-9705
(304) 743-9646
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1970
WV
207P00000X
Emergency Medicine Physician
58.001256
OH
207P00000X
Emergency Medicine Physician
OT010286
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001858267
BC/BS
WV
01
—
1066227
DWC
WV
05
—
3810000900
—
WV
Enumeration date
07/13/2006
Last updated
05/18/2023
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