Individual
JENNIFER L. MIDKIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
313 MACCORKLE AVE SW, CHARLESTON, WV 25303-1263
(304) 744-2300
(304) 744-8195
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(304) 744-2300
(304) 744-8195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001163
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216606
OH MEDICAID UNISON
OH
01
—
000000217253
ANTHEM BCBS
—
01
—
000646536
MOUNTAIN STATE BCBS
—
05
—
0157388000
—
WV
05
—
2229010
—
OH
01
—
650019721
RR MEDICARE
—
Enumeration date
07/14/2006
Last updated
10/24/2011
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