Individual
KRISTY LEA MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
PO BOX 336, MOUNT LOOKOUT, WV 26678-0336
(304) 663-2540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107239
WV
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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