Individual
KAITLYN S BEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1638
WV
Other
Enumeration date
08/14/2012
Last updated
04/06/2022
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