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Kristopher Caleb Pack
School Registered Nurse in South Charleston, West Virginia
NPI 1750022463

Kristopher Caleb Pack is a School Registered Nurse based in Huntington, WV and is specialized in School. Kristopher Caleb Pack practices in South Charleston, WV. The NPI Number for Kristopher Caleb Pack is 1750022463 and holds a License No. 97394 (West Virginia).

The current practice location address for Kristopher Caleb Pack is 100 Angus E Peyton Dr, South Charleston, WV and can be reached out via phone at 304-746-2088.

Location: 100 Angus E Peyton Dr, South Charleston, WV, 25705-2909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750022463
Provider Name
Kristopher Caleb Pack
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Angus E Peyton Dr, South Charleston, WV, 25705-2909
Phone Number
304-746-2088
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Angus E Peyton Dr
City
South Charleston
State
West Virginia
Zip
25303-1600
Phone Number
304-746-2088
Fax Number
person
Provider Business Mailing Address Details
Address
100 Angus E Peyton Dr
City
South Charleston
State
West Virginia
Zip
25303-1600
Phone Number
304-746-2088
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
97394 (West Virginia)
Definition
Definition to come...
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