Individual
JANE E KELLEY TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 TAYLOR LN, RONCEVERTE, WV 24970-1337
(304) 647-3434
(304) 647-9789
Mailing address
PO BOX 787, CRAB ORCHARD, WV 25827-0787
(304) 253-5793
(304) 253-0166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1770
WV
207Q00000X
Family Medicine Physician
Primary
1770
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721727
BC
WV
01
—
1048076
W COMP
WV
05
—
5600556000
—
WV
01
—
P00049529
RR MCARE
WV
Enumeration date
11/02/2005
Last updated
04/24/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us