Individual
MRS. KAITLIN ELIZABETH KRISHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CAPITOL ST # 427, CHARLESTON, WV 25301-1757
(304) 558-5388
Mailing address
443 SANFORD ST, MORGANTOWN, WV 26501-6548
(304) 282-2772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51933
WV
174400000X
Specialist
1-21-51933
WV
3747P1801X
Personal Care Attendant
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Other
Enumeration date
11/12/2020
Last updated
01/27/2025
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