Individual
KELLY LYNN LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
354 COMMERCE DR, BEAVER, WV 25813-8985
(304) 250-0150
Mailing address
354 COMMERCE DR, BEAVER, WV 25813-8985
(304) 250-0150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71128
WV
Other
Enumeration date
10/02/2013
Last updated
09/10/2025
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