Individual
KRISTOPHER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 293-6307
Mailing address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(304) 293-6307
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2042
WV
Other
Enumeration date
03/14/2017
Last updated
04/15/2022
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