Dorothy L McCombs
Individual provider Active NPI Community Health Worker · Kenna, WV
NPI 1902490774 · NPPES record last updated Feb 23, 2021
Key facts
- NPI
- 1902490774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 6578 Kentuck Rd
Kenna, WV 25248-9537 - Phone
- (304) 372-2819
- NPI assigned
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
6578 Kentuck Rd
Kenna, WV 25248-9537
Mailing address
6578 Kentuck Rd
Kenna, WV 25248-9537
Phone (304) 372-2819
Other providers in Kenna, WV
- Mary Fay
- Linda Gibson
- Estella Jeffery
- Jenniferlmcdonald LLC
- Catherine Lanham
- Jacqueline McDonough
- William Paul McDonough Jr.
- Collen Moore
- Jason Ray Phillips
- Benjamin Randall Poling
All providers in Kenna, WV · Community Health Worker 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 Feb 23, 2021. 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.