Individual
HEATHER KAY LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 MADISON AVE, MADISON, WV 25130-1669
(304) 369-1230
Mailing address
700 LIME KILN RD, RED HOUSE, WV 25168-7522
(304) 543-7241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2075
WV
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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