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Kiesha Marie Bullough, PA-C
Physician Assistant in Clarksburg, West Virginia
NPI 1700113412

Kiesha Marie Bullough is a Physician Assistant based in Clarksburg, WV. Kiesha Marie Bullough practices in Clarksburg, WV and has the professional credentials of PA-C. The NPI Number for Kiesha Marie Bullough is 1700113412 and holds a License No. 01444 (West Virginia).

The current practice location address for Kiesha Marie Bullough is 700 Oakmound Rd, Clarksburg, WV and can be reached out via phone at 304-623-6330 and via fax at 304-623-6220.

Location: 700 Oakmound Rd, Clarksburg, WV, 26301-9398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700113412
Provider Name
Kiesha Marie Bullough
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
700 Oakmound Rd, Clarksburg, WV, 26301-9398
Phone Number
304-623-6330
Fax Number
304-623-6220
Provider Enumeration Date
11/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810016314 05 WV
institution
Provider Business Practice Location Address Details
Address
700 Oakmound Rd
City
Clarksburg
State
West Virginia
Zip
26301-9398
Phone Number
304-623-6330
Fax Number
304-623-6220
person
Provider Business Mailing Address Details
Address
700 Oakmound Rd
City
Clarksburg
State
West Virginia
Zip
26301-9398
Phone Number
304-623-6330
Fax Number
304-623-6220
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
01444 (West Virginia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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