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Individual

KATHRYN DAYLE KEATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
804 INDUSTRIAL PARK RD STE 1, MAXWELTON, WV 24957-8066
(304) 497-0500
Mailing address
962 COFFMAN CEMETERY RD, LEWISBURG, WV 24901-5629

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
44356
WV

Other

Enumeration date
06/19/2020
Last updated
06/19/2020
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