Provider Demographics
NPI:1730765082
Name:CONNER, MEGAN VALERIE (BS, CM)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:VALERIE
Last Name:CONNER
Suffix:
Gender:F
Credentials:BS, CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 UNION ST
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:WV
Mailing Address - Zip Code:25951-2424
Mailing Address - Country:US
Mailing Address - Phone:681-222-9529
Mailing Address - Fax:
Practice Address - Street 1:1289 ROBERT C BYRD DR. SUITE 4
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25802-2580
Practice Address - Country:US
Practice Address - Phone:304-253-8979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator