Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MICHELLE LEIGH ENDICOTT, DO
Active Sole ProprietorMRS. MICHELLE LEIGH ENDICOTT, DO is a Dermatology healthcare provider located in SOUTH CHARLESTON, West Virginia. NPI 1699774315 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1699774315
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2005 (21.071475403021 yrs)
- Last Updated
- Sep 11, 2012
- License
-
2097 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4815 KANAWHA AVE SWSOUTH CHARLESTON, WV, 253091207Browse WV providers · Browse ZIP 25309
- Phone
- 3047684567
- Fax
- 3047682277
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| GREGORY T. LAGOS | DO | 1316946825 |
| DR. TODD VINCENT KREITZER | D.O. | 1841406766 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.