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-- JACLYN LEA ADKINS -- PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1750419966
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
645 KANAWHA AVE, RAINELLE, WV, 259621013
Phone
(304) 438-6188
Fax
(304) 438-6819

Specialties & Taxonomies

Physician Assistant Primary License: WV #00866

All Addresses

MAILING

HC 30 BOX 56

CALDWELL, WV, 24925

(304) 645-1463

LOCATION

645 KANAWHA AVE

RAINELLE, WV, 259621013

(304) 438-6188