Individual
HOLLY RENEE MCKNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 411, CHARLESTON, WV 25304-1223
(304) 343-4400
Mailing address
102 LEE ST, POCA, WV 25159-9721
(304) 776-2660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56057
WV
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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