Individual
MRS. KENYA DARSHELL DOTTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
501 BUTLER AVE, MARTINSBURG, WV 25405-9990
(734) 559-3512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704243065
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704243065
MI
Other
Enumeration date
07/02/2008
Last updated
07/10/2019
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