Individual
KATINA K COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3343
Mailing address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3343
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22507
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018455500001
—
PA
05
—
2321946
—
OH
05
—
3810007742
—
WV
01
—
P00384414
RAILROAD MEDICARE
WV
Enumeration date
07/08/2006
Last updated
12/04/2007
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