Individual
KATLYN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
106032
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
106032
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548192875
—
WV
Enumeration date
06/01/2026
Last updated
07/10/2026
Update your record
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