Individual
KAYLA ANNETTE DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
165 SCOTT AVE STE 100, MORGANTOWN, WV 26508-8847
(304) 554-0400
(304) 554-0404
Mailing address
227 MEDICAL PARK DR STE 101, BRIDGEPORT, WV 26330-9038
(681) 342-3690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01734
WV
363AM0700X
Medical Physician Assistant
C0004528
MD
Other
Enumeration date
09/16/2011
Last updated
11/09/2020
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