Individual
KATIE BLOXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 MACCORKLE AVE SW STE 200, SOUTH CHARLESTON, WV 25309-1513
(304) 925-7546
(681) 205-8369
Mailing address
4202 MACCORKLE AVE SW STE 200, SOUTH CHARLESTON, WV 25309-1513
(304) 925-7546
(681) 205-8369
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1119180
WV
Other
Enumeration date
06/10/2014
Last updated
04/06/2026
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