Individual
CATHERINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 376-4422
Mailing address
527 SPIKER RD, BRUCETON MILLS, WV 26525-6927
(304) 376-4422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106872
WV
Other
Enumeration date
08/26/2020
Last updated
04/08/2022
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