Individual
KALA LEIGH PUTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
6A BANK ST, NITRO, WV 25143-1708
(304) 306-3058
(304) 306-3059
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN80892-FNP-BC
WV
Other
Enumeration date
07/22/2015
Last updated
01/03/2022
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