Individual
KRISTY EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
106 THORN ST, PRINCETON, WV 24740-3560
(304) 314-7501
(304) 936-6156
Mailing address
106 THORN ST, PRINCETON, WV 24740-3560
(304) 314-7501
(304) 936-6156
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-964
WV
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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