Individual
KELSEY DAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 56TH ST SE, CHARLESTON, WV 25304-2361
(304) 926-1600
Mailing address
102 HAMPTON LN, HURRICANE, WV 25526-1054
(304) 417-3713
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
96543
WV
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
96543
WV
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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