Individual
JACLYN LEA ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
645 KANAWHA AVE, RAINELLE, WV 25962-1013
(304) 438-6188
(304) 438-6819
Mailing address
HC 30 BOX 56, CALDWELL, WV 24925
(304) 645-1463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00866
WV
Other
Enumeration date
03/01/2007
Last updated
07/14/2011
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