Individual
KATHRYN LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1453 WINCHESTER AVE, MARTINSBURG, WV 25405-5022
(304) 596-2646
Mailing address
109 S COLLEGE ST, MARTINSBURG, WV 25401-3307
(304) 596-2646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2628
WV
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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