Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 00372 | WV |
Y | 222Z00000X | Podiatrist | 00372 | WV |
NPI | 1013020569 |
---|---|
Provider Name | Dr. Cherie L Kelly-Danhires |
First Address | Morgantown, WV 26507-0879 |
Second Address | Morgantown, WV 26506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 31/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2103053000 | (05) | WV |
U91250 | (02) | WV |