Individual
MRS. KATELYNNE EILEEN BODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 905, GRANVILLE, WV 26534-0905
(304) 670-0692
Mailing address
PO BOX 905, GRANVILLE, WV 26534-0905
(304) 670-0692
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
109939
WV
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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