Individual
KATHERINE T CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3701 MACCORKLE AVE SE, CHARLESTON, WV 25304-1525
(304) 720-2345
(304) 720-2347
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2496
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00962313
RAILROAD MEDICARE
—
Enumeration date
06/23/2008
Last updated
05/21/2020
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