NPI
Derquan J Manns
NPI 1528671393
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2020-08-31
- Last updated
- 2020-08-31
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 54 72nd St
- City
- Kopperston WV
- Postal code
- 24854
- Phone
- (304) 918-4480
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Kopperston, WV. 16 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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