| Doctor Name: | MARY KAY PEPE |
| NPI Number: | 1003055229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 7127 |
| Business Practice Address: | 1201 Pleasant Ave Wellsburg, WV - 260701344 |
| Business Phone Number: | 3047373481 |
| Business Fax Number: | 3047373480 |
| Mailing Address: | 1201 Pleasant Ave, WELLSBURG |
| State: | WV |
| Postal Code: | 260701344 |
| Phone Number: | 3047373481 |
| Fax Number: | 3047373480 |
| NPI Enumeration Date: | 02/11/2009 |
| NPI Last Update Date: | 07/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 7127 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |