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PATHRUSIM LEVI KEAFFABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
5000 KY-321, PRESTONSBURG, KY 41653
(606) 886-8511
Mailing address
5000 KY-321, PRESTONSBURG, KY 41653

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4049598
KY
363L00000X
Nurse Practitioner
82693
WV

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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