Individual
PAMELA KLUG WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-A
Contact information
Practice address
218 RAGLAND RD, BECKLEY, WV 25801-9721
(304) 252-0790
(304) 253-9470
Mailing address
109 3RD ST, OAK HILL, WV 25901-2205
(304) 469-6819
(304) 253-9470
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0054
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001711216
BLUE CROSS BLUE SHIELD
WV
01
—
151726500
DEPT OF LABOR
WV
05
—
3401020000
—
WV
01
—
640004323
RAILROAD MEDICARE
WV
Enumeration date
09/27/2006
Last updated
01/25/2012
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