Provider Demographics
NPI:1558592741
Name:DENNING, KRISTA L (MD)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:L
Last Name:DENNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE B510
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3656
Mailing Address - Country:US
Mailing Address - Phone:304-691-8850
Mailing Address - Fax:304-523-9470
Practice Address - Street 1:1600 MEDICAL CENTER DR
Practice Address - Street 2:SUITE B510
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3656
Practice Address - Country:US
Practice Address - Phone:304-691-8850
Practice Address - Fax:304-523-9470
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV23392207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV4275171Medicare PIN
WV3810015886Medicare PIN