Individual
KATHY JO MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
322 12TH ST, HUNTINGTON, WV 25701-1520
(304) 781-6960
(304) 781-3510
Mailing address
322 12TH ST, HUNTINGTON, WV 25701-1520
(304) 781-6960
(304) 781-3510
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
54624
WV
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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