Individual
KAYLA MARIE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 AMALIA DRIVE, BUCKHANNON, WV 26201-2271
(304) 473-2303
Mailing address
10 AMALIA DRIVE, BUCKHANNON, WV 26201-2271
(304) 473-2303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2171
WV
Other
Enumeration date
11/13/2015
Last updated
10/22/2019
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