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Individual

MRS. KATIE SUE HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
107 KOONTZ AVE, CLENDENIN, WV 25045-9578
(304) 548-7272
(304) 548-7149
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105113
WV

Other

Enumeration date
12/17/2019
Last updated
05/21/2020
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