Individual
MICAH R KISHBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2900 1ST AVE STE 230, HUNTINGTON, WV 25702-1241
(304) 525-3711
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4009314
KY
Other
Enumeration date
11/22/2023
Last updated
10/22/2025
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