Kyle Fetherolf, PRSS is a
Peer Specialist based in Huntington, West Virginia. Kyle Fetherolf is licensed to practice in West Virginia (license number ) and his current practice location is
1402 4th Ave, Huntington, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 529-4276.
NPI number for Kyle Fetherolf is 1316458912 and his current mailing address is 1402 4th Ave, Huntington, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316458912.
Healthcare Provider's Profile
| Full Name | Kyle Fetherolf |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1402 4th Ave, Huntington, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316458912
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 10/27/2021
Medical Identifiers
Medical identifiers for Kyle Fetherolf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316458912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 163662 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Fetherolf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Fetherolf, PRSS
1402 4th Ave,
Huntington, WV 25701-2403
Ph: (304) 529-4276 | Kyle Fetherolf, PRSS
1402 4th Ave,
Huntington, WV 25701-2403
Ph: (304) 529-4276 |
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