Provider Demographics
NPI:1194532655
Name:AKINS, DONNA KAY
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:KAY
Last Name:AKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:
Mailing Address - City:HENDRICKS
Mailing Address - State:WV
Mailing Address - Zip Code:26271-0043
Mailing Address - Country:US
Mailing Address - Phone:304-704-4708
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 43
Practice Address - Street 2:
Practice Address - City:HENDRICKS
Practice Address - State:WV
Practice Address - Zip Code:26271-0043
Practice Address - Country:US
Practice Address - Phone:304-704-4708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency