Individual
ELIZABETH MARILYNN FELTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1102 POPLAR STREET, KENOVA, WV 25530
(304) 453-5458
(304) 453-5459
Mailing address
PO BOX 183, KENOVA, WV 25530
(304) 453-5458
(304) 453-5459
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00375
WV
213E00000X
Podiatrist
314
KY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102034000
—
WV
01
—
4907030001
DME
—
Enumeration date
10/10/2006
Last updated
05/06/2009
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