Individual
KATELYN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1742 AUTUMN LN, DAVIN, WV 25617
(304) 785-3642
Mailing address
PO BOX 283, DAVIN, WV 25617-0283
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
41672
WV
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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