Individual
DONALD KENWOOD TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
332 NORTH ST, BLUEFIELD, WV 24701-4038
(304) 325-8685
(304) 324-0429
Mailing address
332 NORTH ST, BLUEFIELD, WV 24701-4038
(304) 325-8685
(304) 324-0429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
689-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719832
MT STATE BCBS
WV
05
—
009204342
—
VA
05
—
0150605000
—
WV
01
—
037848
BCBS
VA
01
—
0452014
ANTHEM BC BS
VA
01
—
0452015
ANTHEM BC BS
VA
Enumeration date
03/09/2006
Last updated
09/26/2024
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