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Individual

MS. KATHRYN FARREN NEWCOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3200 MACCORKLE AVE, CHARLESTON, WV 25304
(304) 388-5559
(304) 388-3604
Mailing address
2517 E PARKVIEW DR, ST ALBANS, WV 25177
(304) 727-0055
(304) 388-3604

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
30480
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
47233
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0069179000
WV
01
430069469
R MEDICARE
WV
Enumeration date
10/24/2006
Last updated
04/03/2026
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