Individual
KELLY LYNN MOCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26505
(304) 598-4000
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN87446NP
WV
Other
Enumeration date
01/29/2015
Last updated
01/27/2016
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