Kitzmiller, Melissa Dawn

Kitzmiller, Melissa Dawn is an individual health care provider with primary practice located at 422S Main St , Moorefield WV 26836-1238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kitzmiller, Melissa Dawn can be contacted via phone (304) 538-2331.

Contact Information

Primary practice address
422S Main St Moorefield WV 26836-1238
Fax: (304) 538-2663
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 20333 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20333 West Virginia

Profile Details

NPI number 1659329761
LBN Legal business name Kitzmiller, Melissa Dawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 13th, 2015 - about 11 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 1659329761 NPPES
Other 1659329761 NPI
MEDICAID 1840904000 NPI

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