Individual
KELLY ELIZABETH AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 STEVENS RD STE 201, SUMMERSVILLE, WV 26651-9704
(304) 872-5329
(304) 872-5362
Mailing address
1 STEVENS RD STE 201, SUMMERSVILLE, WV 26651-9704
(304) 872-5329
(304) 872-5362
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
57648
WV
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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