Individual
DR. KAREN L. PETTRY-HULTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
207 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 574-2600
Mailing address
RR 3 BOX 9, FAYETTEVILLE, WV 25840
(304) 574-2600
(304) 574-2951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
986
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714965
BC
WV
05
—
0051304000
—
WV
Enumeration date
10/31/2005
Last updated
03/31/2026
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