Individual
SIERRA KENLY ELSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6004
(304) 388-3360
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6004
(304) 388-3360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
0874T
WV
Other
Enumeration date
03/06/2023
Last updated
07/28/2023
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