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Beverly Jane Kirker, RDH.BSN,AS

Dental Hygienist in Summersville, WV. Individual provider (NPI-1).

NPI number1043095458
StatusActive
Last updated in NPPESAug 25, 2023

Details

NPI
1043095458
Entity type
Individual (NPI-1)
Name
Beverly Jane Kirker
Credential
RDH.BSN,AS
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 25, 2023
Certification date
Aug 25, 2023
Last updated
Aug 25, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist2361WVYes

Practice location

51 Frank McMillion Rd
Summersville, WV 26651-9465

Phone 304-619-9312

Mailing address

51 Frank McMillion Rd
Summersville, WV 26651-9465

Phone 304-619-9312

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