Individual
KAITLYN UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
709 W BURKE ST, MARTINSBURG, WV 25401-2709
(304) 901-5172
Mailing address
709 W BURKE ST, MARTINSBURG, WV 25401-2709
(304) 596-1001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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