Individual
CASEY FLINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
33094 COAL RIVER ROAD, SYLVESTER, WV 25193
(304) 419-1592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
652
WV
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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