Individual
KAITLYN HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 487-7000
Mailing address
271 OLD LILLY FARM DR, COOL RIDGE, WV 25825-1111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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