person
Kelly Jo Hazuka, NP-C
Family Nurse Practitioner in Fairmont, West Virginia
NPI 1205188240

Kelly Jo Hazuka is a Family Nurse Practitioner based in Fairmont, WV and is specialized in Family. Kelly Jo Hazuka practices in Fairmont, WV and has the professional credentials of NP-C. The NPI Number for Kelly Jo Hazuka is 1205188240 and holds a License No. 58344 (West Virginia).

The current practice location address for Kelly Jo Hazuka is 100 Avery Olivia Way Ste B, Fairmont, WV and can be reached out via phone at 304-333-1650 and via fax at 304-333-1651.

Location: 100 Avery Olivia Way Ste B, Fairmont, WV, 26554-9375
person
Provider Profile Details
NPI Number
1205188240
Provider Name
Kelly Jo Hazuka
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
100 Avery Olivia Way Ste B, Fairmont, WV, 26554-9375
Phone Number
304-333-1650
Fax Number
304-333-1651
Provider Enumeration Date
10/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Avery Olivia Way Ste B
City
State
Zip
26554-9375
Phone Number
304-333-1650
Fax Number
304-333-1651
person
Provider Business Mailing Address Details
Address
100 Avery Olivia Way Ste B
City
State
Zip
26554-9375
Phone Number
304-333-1650
Fax Number
304-333-1651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
58344 (West Virginia)
Definition
Definition to come...
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