Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2013-00474 | NC |
Y | 207X00000X | Orthopaedic Surgeon | 24043 | WV |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 24043 | WV |
NPI | 1366603375 |
---|---|
Provider Name | Jonathon Kyle Salava |
First Address | Huntington, WV 25701-3656 |
Second Address | Huntington, WV 25701-3656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 17/12/2014 |