Individual
MRS. KAREN L SPOTLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
70 N STURMER ST, BELINGTON, WV 26250-7403
(304) 823-2800
(304) 823-2703
Mailing address
70 N STURMER ST, BELINGTON, WV 26250-7403
(304) 823-2800
(304) 823-2703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
331
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028172
MEDICARE PTAN
WV
05
—
3810000780
—
WV
Enumeration date
06/17/2006
Last updated
10/22/2015
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