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Individual

KRISTIN NICOLE BAYUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4051
Mailing address
PO BOX 9235, MORGANTOWN, WV 26506-9235
(304) 598-4051

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1898
WV
363AS0400X
Surgical Physician Assistant
PA9103493
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2923700 00
FL
01
P00287829
RAILROAD MEDICARE
FL
Enumeration date
04/05/2006
Last updated
08/18/2015
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