Individual
MRS. KATHRYN VERZICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 JEFFERSON AVE, PETERSBURG, WV 26847-1628
(304) 257-1011
Mailing address
HC 78 BOX 96A, RIVERTON, WV 26814-9709
(304) 567-3164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24587
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013079000
—
WV
Enumeration date
02/26/2008
Last updated
02/26/2008
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