Provider Demographics
NPI:1275600793
Name:SAVILLE, MARY KATHRYN (RN, BSN, ND)
Entity Type:Individual
Prefix:DR
First Name:MARY KATHRYN
Middle Name:
Last Name:SAVILLE
Suffix:
Gender:F
Credentials:RN, BSN, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25303-1510
Mailing Address - Country:US
Mailing Address - Phone:304-414-3629
Mailing Address - Fax:304-414-3633
Practice Address - Street 1:208 7TH AVE
Practice Address - Street 2:
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303-1510
Practice Address - Country:US
Practice Address - Phone:304-414-3629
Practice Address - Fax:304-414-3633
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV41329133NN1002X, 163WC3500X, 163WE0003X, 163WE0900X, 163WG0100X, 163WG0600X, 163WH1000X, 163WP0000X, 163WP0809X, 163WW0101X, 163WX0200X
WV41329, MBA163WC0400X, 163WC1500X
ALND CLAYTON COLLEGE175F00000X, 175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Not Answered163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation
Not Answered163WE0003XNursing Service ProvidersRegistered NurseEmergency
Not Answered163WE0900XNursing Service ProvidersRegistered NurseEnterostomal Therapy
Not Answered163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
Not Answered163WG0600XNursing Service ProvidersRegistered NurseGerontology
Not Answered163WH1000XNursing Service ProvidersRegistered NurseHospice
Not Answered163WP0000XNursing Service ProvidersRegistered NursePain Management
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Not Answered163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Not Answered163WX0200XNursing Service ProvidersRegistered NurseOncology
Not Answered175F00000XOther Service ProvidersNaturopath
Not Answered175L00000XOther Service ProvidersHomeopath