Individual
KRISTINA M. KILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(304) 256-4100
Mailing address
825 EDWARD DR, DANIELS, WV 25832-9062
(304) 763-1315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53018
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WV
Enumeration date
06/05/2006
Last updated
02/20/2018
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