| Drs Rw & Ja Love Memorial Clinic | |
|
112 Kuykendall Ln Moorefield WV 26836-1167 | |
| (304) 530-7755 | |
| (304) 530-7756 |
| Full Name | Drs Rw & Ja Love Memorial Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Kuykendall Ln, Moorefield, West Virginia |
| Authorized Official Name and Position | Barbara Ann Harper (OFFICE MANAGER) |
| Authorized Official Contact | 3045307755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Rw & Ja Love Memorial Clinic 112 Kuykendall Lane Moorefield WV 26836 Ph: (304) 530-7755 | Drs Rw & Ja Love Memorial Clinic 112 Kuykendall Ln Moorefield WV 26836-1167 Ph: (304) 530-7755 |
| NPI Number | 1336113109 |
|---|---|
| Provider Enumeration Date | 02/16/2006 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 6901707900 |
|---|---|
| Medicare Enrollment ID | O20040114000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336113109 | NPI | - | NPPES |
| 0034507000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donna R Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780659342 PECOS PAC ID: 8123083250 Enrollment ID: I20041201000649 |
| Provider Name | Michael P Riggleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831163500 PECOS PAC ID: 8628150349 Enrollment ID: I20100830000267 |
| Provider Name | Patricia B Krauskopf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699744284 PECOS PAC ID: 3779733795 Enrollment ID: I20121026000521 |
| Provider Name | Alicia I Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487044749 PECOS PAC ID: 8820316144 Enrollment ID: I20150417000891 |
| Provider Name | Jacquelyn M Kessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497423776 PECOS PAC ID: 4183015621 Enrollment ID: I20220223002616 |
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