Individual
KATELYN NICHELLE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1000 MON HEALTH MEDICAL PARK DR STE 1101, MORGANTOWN, WV 26505-1143
(304) 598-2700
(304) 598-2725
Mailing address
1000 MON HEALTH MEDICAL PARK DR STE 1101, MORGANTOWN, WV 26505-1143
(304) 598-2700
(304) 598-2725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
92144
WV
Other
Enumeration date
11/30/2018
Last updated
01/03/2023
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