Kory All-Darby, PRSS
Individual provider Active NPI Peer Specialist · Saint Albans, WV
NPI 1831800515 · NPPES record last updated Dec 13, 2022
Key facts
- NPI
- 1831800515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 22-9156 (WV)
- Practice address
- 2333 Maccorkle Ave Ste 201
Saint Albans, WV 25177-2074 - Phone
- (304) 766-0060
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-9156 | WV | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ten Up Ministries, Inc | Current |
Accepting new patients |
Locations
2333 Maccorkle Ave
Ste 201
Saint Albans, WV 25177
Phone (304) 419-7252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 22-9156 | WV | Yes |
Addresses
Primary practice location
2333 Maccorkle Ave Ste 201
Saint Albans, WV 25177-2074
Mailing address
2333 Maccorkle Ave Ste 201
Saint Albans, WV 25177-2074
Phone (304) 766-0060
Other providers in Saint Albans, WV
- Jeffrey Albright
- Jake Alden
- Heather Alderman
- Mark Alderman
- Brandi Aldridge
- Anthony Dewayne Allen
- Whitney Allen
- Lauren E. Anderson
- Matthew Anderson
- Christopher Angstrom
All providers in Saint Albans, WV · Peer Specialist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.