Individual
KELLI NUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.R.S.S
Contact information
Practice address
1824 MURDOCH AVE BLDG C, PARKERSBURG, WV 26101-3230
(304) 916-1881
(304) 917-1027
Mailing address
1824 MURDOCH AVE BLDG C, PARKERSBURG, WV 26101-3230
(304) 916-1881
(304) 917-1027
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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