Individual
MRS. TANA RENEE KEVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
921 MINERAL RD STE 101, GLENVILLE, WV 26351
(304) 354-9244
(304) 354-5963
Mailing address
921 MINERAL RD STE 101, GLENVILLE, WV 26351-1342
(304) 462-7322
(304) 462-3419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
46966
WV
Other
Enumeration date
08/03/2011
Last updated
08/22/2018
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