person
Kellie Faye Gautier, FNP-BC
Family Nurse Practitioner in Princeton, West Virginia
NPI 1215219902

Kellie Faye Gautier is a Family Nurse Practitioner based in Shady Spring, WV and is specialized in Family. Kellie Faye Gautier practices in Princeton, WV and has the professional credentials of FNP-BC. The NPI Number for Kellie Faye Gautier is 1215219902 and holds a License No. 73240 (West Virginia).

The current practice location address for Kellie Faye Gautier is 277 Greasy Ridge Rd, Princeton, WV and can be reached out via phone at 304-425-7615 and via fax at 304-425-7635. You can also correspond with Kellie Faye Gautier through the mailing address at 330 CEDARCREST DR, SHADY SPRING, WV - 25918-8541 (mailing address contact number: 304-890-8987).

Location: 277 Greasy Ridge Rd, Princeton, WV, 25918-8541
person
Provider Profile Details
NPI Number
1215219902
Provider Name
Kellie Faye Gautier
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
277 Greasy Ridge Rd, Princeton, WV, 25918-8541
Phone Number
304-425-7615
Fax Number
304-425-7635
Provider Enumeration Date
09/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810021842 05 WV
institution
Provider Business Practice Location Address Details
Address
277 Greasy Ridge Rd
City
State
Zip
24739-6900
Phone Number
304-425-7615
Fax Number
304-425-7635
person
Provider Business Mailing Address Details
Address
277 Greasy Ridge Rd
City
State
Zip
24739-6900
Phone Number
304-425-7615
Fax Number
304-425-7635
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
73240 (West Virginia)
Definition
Definition to come...
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