Individual
JESSE N COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR, STE 4500, HUNTINGTON, WV 25701-3656
(304) 691-1400
(304) 691-1453
Mailing address
1600 MEDICAL CENTER DR, STE 4500, HUNTINGTON, WV 25701-3656
(304) 691-1400
(304) 691-1453
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
28842
WV
207VM0101X
Maternal & Fetal Medicine Physician
Primary
TP405
KY
207VX0000X
Obstetrics Physician
24283
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100598650
—
KY
Enumeration date
05/07/2012
Last updated
04/04/2023
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