Individual
KATELYNN RICKELLE ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
111 COURT ST, CHARLESTON, WV 25301-2165
(877) 868-5351
Mailing address
RR 1 BOX 172, WILLIAMSON, WV 25661
(204) 928-4018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104223
WV
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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