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Individual

KAYLEE BROOKE VAN GROUW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
124 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 252-8551
(304) 461-0435
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8324
(304) 252-1790

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2641
WV
363A00000X
Physician Assistant

Other

Enumeration date
12/09/2021
Last updated
02/17/2026
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