Provider Demographics
NPI:1073956389
Name:LARKIN, EMILY BLAIR (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:BLAIR
Last Name:LARKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 CHEAT RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-4210
Mailing Address - Country:US
Mailing Address - Phone:304-594-1313
Mailing Address - Fax:304-594-2408
Practice Address - Street 1:608 CHEAT RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-4210
Practice Address - Country:US
Practice Address - Phone:304-594-1313
Practice Address - Fax:304-594-2408
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV26373207Q00000X, 193200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes193200000XGroupMulti-Specialty
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine