Kearney, Debra L

Kearney, Debra L is an individual health care provider with primary practice located at 12 Villa Est , Charleston WV 25311-9760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kearney, Debra L can be contacted via phone (304) 549-1238.

Contact Information

Primary practice address
12 Villa Est Charleston WV 25311-9760
Phone: (304) 549-1238
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 48426 West Virginia

Profile Details

NPI number 1689617979
LBN Legal business name Kearney, Debra L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689617979 NPPES
West Virginia MEDICAID 0200409000

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