# CAPON BRIDGE FAMILY PRACTICE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992162754
- **Authorized official:** MRS. KARI SPAID RN (RN/PARTNER)
- **Authorized official phone:** (304) 856-3185

## Contact information

- **Practice address:** 2852 NORTHWESTERN PIKE, CAPON BRIDGE, WV 26711-9052
- **Practice address phone:** (304) 856-2525
- **Mailing address:** 2852 NORTHWESTERN PIKE, CAPON BRIDGE, WV 26711-9052
- **Mailing address phone:** (304) 856-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 81966 | WV | — |
| 207Q00000X | Family Medicine Physician | 21499 | WV | Yes |
| 363LF0000X | Family Nurse Practitioner | APRN82384NP | WV | — |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 01/25/2016