Organization
BURNSVILLE MEDICAL CENTER PLLC
Active
Other names
Braxton Primary Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINE KATINY MD (OWNER)
(304) 853-2278
Entity
Organization
Contact information
Practice address
110 MUNICIPAL STREET, BURNSVILLE, WV 26335-0424
(304) 853-2278
(304) 853-2520
Mailing address
110 MUNICIPAL STREET, PO BOX 424, BURNSVILLE, WV 26335-0424
(304) 853-2278
(304) 853-2520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17332
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034771000
—
WV
05
—
0075944000
—
WV
Enumeration date
04/06/2007
Last updated
10/05/2010
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