Individual
SHELLY P KAFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
399 EMILY DR, CLARKSBURG, WV 26301-5505
(304) 624-4315
(304) 624-4319
Mailing address
125 N 6TH ST, CLARKSBURG, WV 26301-2665
(304) 624-7200
(304) 624-4319
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
21978
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003522
—
WV
Enumeration date
12/30/2005
Last updated
01/23/2015
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