Individual
KALA NICOLE DAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-4411
Mailing address
759 SIMMS MOUNTAIN RD, RAINELLE, WV 25962-9814
(304) 228-7580
(681) 318-3479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110557
WV
Other
Enumeration date
08/22/2022
Last updated
04/28/2025
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