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Individual

EDNA KATHRYN WORTHINGTON

Active
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Individual

EDNA KATHRYN WORTHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18224
WV
2084P0800X
Psychiatry Physician
35-068608
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0115923000
WV
Enumeration date
09/21/2006
Last updated
05/30/2013
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