Individual
MRS. KRISTI LYNN SCAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 752-1804
(304) 752-0207
Mailing address
14 WILDCAT WAY, LOGAN, WV 25601-3474
(304) 752-1804
(304) 752-0207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
39502
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060164000
—
WV
Enumeration date
02/08/2008
Last updated
02/08/2008
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