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Individual

SUSAN PENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
750 OAK ST, KENOVA, WV 25530-1517
(304) 453-6136
(304) 453-1756
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 453-6136

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN54755
WV

Other

Enumeration date
02/12/2019
Last updated
04/14/2023
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