Pamela Kay Maddox
Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
1246 Kanawha Ave
Dunbar
, West Virginia 25064-3008
Pamela Kay Maddox
Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
1246 Kanawha Ave
Dunbar
, West Virginia 25064-3008
(304) 389-0402
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Pamela Kay Maddox
- 1246 Kanawha Ave
- Dunbar, WV
- Zip : 25064-3008
- Phone : (304) 389-0402
Second Address
- Pamela Kay Maddox
- 1246 Kanawha Ave
- Dunbar, WV
- Zip : 25064-3008
- Phone : (304) 389-0402
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 47383 | WV |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 47383 | WV |
National Provider Identifier
| NPI | 1073679270 |
|---|---|
| Provider Name | Pamela Kay Maddox |
| First Address | Dunbar, WV 25064-3008 |
| Second Address | Dunbar, WV 25064-3008 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2006 |
| Last Update Date | 26/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.