Individual
KATHERINE KEELY BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2066
(304) 472-0533
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2066
(304) 472-0533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01200
WV
Other
Enumeration date
12/16/2006
Last updated
07/08/2015
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