Individual
MELISSA DAWN KITZMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
422S MAIN ST, MOOREFIELD, WV 26836-1238
(304) 538-2331
(304) 538-2663
Mailing address
22347 NORTHWESTERN PIKE, ROMNEY, WV 26757-6343
(304) 822-3838
(304) 822-7665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20333
WV
208D00000X
General Practice Physician
20333
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659329761
NPI
—
05
—
1840904000
—
WV
Enumeration date
05/04/2006
Last updated
10/13/2015
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