Individual
KATELYN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 HAMPTON CTR, SUITE B, MORGANTOWN, WV 26505-1730
(304) 296-2395
Mailing address
4000 HAMPTON CTR, SUITE B, MORGANTOWN, WV 26505-1730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
09/22/2017
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