| Doctor Name: | JANE E KELLEY TALLMAN |
| NPI Number: | 1700877412 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 1770 |
| Business Practice Address: | 100 Taylor Ln Ronceverte, WV - 249701337 |
| Business Phone Number: | 3046473434 |
| Business Fax Number: | 3046479789 |
| Mailing Address: | Po Box 787, CRAB ORCHARD |
| State: | WV |
| Postal Code: | 258270787 |
| Phone Number: | 3042535793 |
| Fax Number: | 3042530166 |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 04/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 1770 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |