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Individual

KRISTEN TENILLE HONAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1249 15TH ST STE 4000, HUNTINGTON, WV 25701-3663
(304) 691-8500
(304) 691-8510
Mailing address
1259 15TH STREET, HUNTINGTON, WV 25701
(304) 691-1000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
114396
WV
363LF0000X
Family Nurse Practitioner
Primary
114396
WV

Other

Enumeration date
09/07/2022
Last updated
11/03/2022
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