Organization
E MARILYNN FELTNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH MARILYNN FELTNER DPM (SOLE PROPRIETOR)
(304) 453-5458
Entity
Organization
Contact information
Practice address
1102 POPLAR ST, KENOVA, WV 25530-1339
(304) 453-5458
(304) 453-5459
Mailing address
PO BOX 183, KENOVA, WV 25530-0183
(304) 453-5458
(304) 453-5459
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102034-000
—
WV
05
—
7100007240
—
KY
01
—
P00026316
RAILROAD MEDICARE
—
Enumeration date
12/03/2007
Last updated
12/03/2007
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