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Individual

SUSAN KING-WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
143 PEYTON STREET, BARBOURSVILLE, WV 25504
(304) 697-2035
(304) 523-1485
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
(304) 399-4405
(304) 399-2526

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
094
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160208-000
WV
Enumeration date
12/07/2005
Last updated
04/22/2021
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