Individual
MRS. KAREN LYNN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4602 MACCORKLE AVE SE, 81 LINCOLN PANTHER WAY, CHARLESTON, WV 25304-1848
(304) 205-7535
(304) 205-7536
Mailing address
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304-1848
(304) 205-7535
(304) 205-7536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
742
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025370
—
WV
Enumeration date
11/05/2012
Last updated
05/21/2020
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