Divelbliss, Kristy

Divelbliss, Kristy is an individual health care provider with primary practice located at 99 Tavern Rd , Martinsburg WV 25401-2890. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Divelbliss, Kristy can be contacted via phone (304) 263-4999.

Contact Information

Primary practice address
99 Tavern Rd Martinsburg WV 25401-2890
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01216 West Virginia

Profile Details

NPI number 1497854517
LBN Legal business name Divelbliss, Kristy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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