Individual
MR. KATHLEEN A MANNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 411, CHARLESTON, WV 25304-1223
(304) 343-7576
(304) 343-3273
Mailing address
3100 MACCORKLE AVE SE, SUITE 411, CHARLESTON, WV 25304-1223
(304) 343-7576
(304) 343-3273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
49
WV
Other
Enumeration date
01/10/2006
Last updated
08/16/2007
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