Individual
KELSIE ELIZABETH LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 285-7222
Mailing address
829 IDLEWOOD ST, MORGANTOWN, WV 26505-8333
(304) 685-4100
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
TEMP2965
WV
363A00000X
Physician Assistant
Primary
2644
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2022
Last updated
07/19/2023
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