Mrs Katelynne Eileen Bodkin, is a
Nurse Practitioner - School based in Granville, West Virginia. Mrs Katelynne Eileen Bodkin is licensed to practice in West Virginia (license number 109939) and her current practice location is
Po Box 905, Granville, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 670-0692.
NPI number for Mrs Katelynne Eileen Bodkin is 1629903901 and her current mailing address is Po Box 905, Granville, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629903901.
Provider's Profile
| Full Name | Mrs Katelynne Eileen Bodkin |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - School |
|---|
| Location | Po Box 905, Granville, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629903901
- Provider Enumeration Date: 06/16/2026
- Last Update Date: 06/16/2026
Medical Identifiers
Medical identifiers for Mrs Katelynne Eileen Bodkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629903901 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LS0200X | Nurse Practitioner - School | 109939 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katelynne Eileen Bodkin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Katelynne Eileen Bodkin, Po Box 905, Granville, WV 26534-0905 Ph: (304) 670-0692 | Mrs Katelynne Eileen Bodkin, Po Box 905, Granville, WV 26534-0905 Ph: (304) 670-0692 |
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