Individual
MRS. STACI LYN LINKOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 12TH STREET EXTENSION, PRINCETON, WV 24740-2329
(304) 425-9541
(304) 431-2856
Mailing address
200 12TH STREET EXTENSION, PRINCETON, WV 24740-2329
(304) 425-9541
(304) 431-2856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1472
WV
Other
Enumeration date
07/29/2009
Last updated
08/12/2020
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