Individual
DR. CHESLEY YELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 E BURR BLVD, KEARNEYSVILLE, WV 25430-4793
(681) 242-8819
Mailing address
150 E BURR BLVD WASHINGTON BLDG, KEARNEYSVILLE, WV 25430
(681) 242-8819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20163
WV
207QA0401X
Addiction Medicine (Family Medicine) Physician
20163
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5630482000
—
WV
Enumeration date
06/09/2005
Last updated
05/08/2018
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