Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 29678 | WV |
Y | 2080P0204X | Pediatric Emergency Doctor | 29678 | WV |
NPI | 1205255874 |
---|---|
Provider Name | Dr. Ashley Brianne Litchfield |
First Address | Huntington, WV 25701-3655 |
Second Address | Huntington, WV 25701-3804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 13/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0409740 | (05) | OH |
1205255874 | (05) | WV |
7100674660 | (05) | KY |