Kafka, Shelly P
Kafka, Shelly P is an individual health care provider with primary practice located at 399 Emily Dr , Clarksburg WV 26301-5505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Kafka, Shelly P can be contacted via phone (304) 624-4315.Contact Information
Primary practice address
399 Emily Dr
Clarksburg WV 26301-5505
Phone: (304) 624-4315
Fax: (304) 624-4319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 21978 | West Virginia |
Profile Details
| NPI number | 1861479784 |
|---|---|
| LBN Legal business name | Kafka, Shelly P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jan 23rd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861479784 | NPPES |
| West Virginia | MEDICAID | 3810003522 |
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