Individual
KATHRYN POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 FORT PIERPONT DR STE 101, MORGANTOWN, WV 26508-1381
(304) 241-7150
(304) 599-8917
Mailing address
1300 FORT PIERPONT DR STE 101, MORGANTOWN, WV 26508-1381
(304) 241-7150
(304) 599-8917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110600
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110600
STATE LICENSE
WV
Enumeration date
09/23/2021
Last updated
03/03/2022
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