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Kellie Faye Gautier, FNP-BC
Family Nurse Practitioner in Daniels, 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 Daniels, 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 1468 Ritter Dr, Daniels, WV and can be reached out via phone at 304-253-3860.

Location: 1468 Ritter Dr, Daniels, WV, 25918-8541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215219902
Provider Name
Kellie Faye Gautier
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1468 Ritter Dr, Daniels, WV, 25918-8541
Phone Number
304-253-3860
Fax Number
Provider Enumeration Date
09/19/2011
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810021842 05 WV
institution
Provider Business Practice Location Address Details
Address
1468 Ritter Dr
City
Daniels
State
West Virginia
Zip
25832-9356
Phone Number
304-253-3860
Fax Number
person
Provider Business Mailing Address Details
Address
1468 Ritter Dr
City
Daniels
State
West Virginia
Zip
25832-9356
Phone Number
304-253-3860
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
73240 (West Virginia)
Definition
Definition to come...
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