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Organization
CAPON BRIDGE FAMILY PRACTICE, LLC
Active
Organization
CAPON BRIDGE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI SPAID RN (RN/PARTNER)
(304) 856-3185
Entity
Organization
Contact information
Practice address
2852 NORTHWESTERN PIKE, CAPON BRIDGE, WV 26711-9052
(304) 856-2525
Mailing address
2852 NORTHWESTERN PIKE, CAPON BRIDGE, WV 26711-9052
(304) 856-2525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
81966
WV
207Q00000X
Family Medicine Physician
Primary
21499
WV
363LF0000X
Family Nurse Practitioner
APRN82384NP
WV
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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