Individual
KACEY HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1560 JEFFERSON ST N, LEWISBURG, WV 24901-2203
(304) 645-2164
Mailing address
1560 JEFFERSON ST N, LEWISBURG, WV 24901-2203
(304) 645-2164
(304) 645-2168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
2218
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002742
LICENSE
VA
Enumeration date
03/17/2008
Last updated
06/10/2025
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