Organization
VA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MCDIFFITT CPMSM,CPCS (MEDICAL STAFF DIRECTOR)
(304) 263-0811
Entity
Organization
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
PO BOX 501, KEARNEYSVILLE, WV 25430-0501
(304) 876-3529
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
59640
WV
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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