IndividualActive
Kalilou Djobo
NPI 1407633423 · Psychiatric/Mental Health Nurse Practitioner · Shepherdstown, WV
Provider details
- NPI number
- 1407633423
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- R198617 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
301 S King St
Shepherdstown, WV 25443-7000
Phone: (304) 876-5000
Approximate (ZIP-level) locationGet directions
Mailing address
301 S King St
Shepherdstown, WV 25443-7000
Registry dates
- Enumerated
- 2023-09-12
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.