Individual
KAITLYN R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
208 UNIVERSITY DR, WEST LIBERTY, WV 26074-1082
(304) 336-5000
Mailing address
501 MORRIS STREET, PO BOX 1547, CHARLESTON, WV 25326-1547
(304) 388-6004
(304) 388-3360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2431
WV
Other
Enumeration date
08/05/2019
Last updated
07/14/2021
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