Individual
LAUREN NICOLE KEREKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 HIDDEN FARMS ROAD, POCA, WV 25159
(304) 993-4083
Mailing address
PO BOX 720, POCA, WV 25159-0720
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2020
Last updated
06/10/2021
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