Doctor Name: | MELISSA DAWN KITZMILLER |
NPI Number: | 1659329761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 20333 |
Business Practice Address: | 422s Main St Moorefield, WV - 268361238 |
Business Phone Number: | 3045382331 |
Business Fax Number: | 3045382663 |
Mailing Address: | 22347 Northwestern Pike, ROMNEY |
State: | WV |
Postal Code: | 267576343 |
Phone Number: | 3048223838 |
Fax Number: | 3048227665 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |