person
Katie Carpenter
Medical Physician Assistant in South Charleston, West Virginia
NPI 1891108502

Katie Carpenter is a Medical Physician Assistant based in South Charleston, WV and is specialized in Medical. Katie Carpenter practices in South Charleston, WV. The NPI Number for Katie Carpenter is 1891108502 and holds a License No. 1119180 (West Virginia).

The current practice location address for Katie Carpenter is 4202 Maccorkle Ave Sw Ste 200, South Charleston, WV and can be reached out via phone at 304-925-7546 and via fax at 681-205-8369. You can also correspond with Katie Carpenter through the mailing address at 4202 MACCORKLE AVE SW STE 200, SOUTH CHARLESTON, WV - 25309-1513 (mailing address contact number: 304-925-7546).

Location: 4202 Maccorkle Ave Sw Ste 200, South Charleston, WV, 25309-1513
person
Provider Profile Details
NPI Number
1891108502
Provider Name
Katie Carpenter
Credential
Provider Entity Type
Individual
Gender
Female
Address
4202 Maccorkle Ave Sw Ste 200, South Charleston, WV, 25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
Provider Enumeration Date
06/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4202 Maccorkle Ave Sw Ste 200
City
State
Zip
25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
person
Provider Business Mailing Address Details
Address
4202 Maccorkle Ave Sw Ste 200
City
State
Zip
25309-1513
Phone Number
304-925-7546
Fax Number
681-205-8369
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1119180 (West Virginia)
Definition
Definition to come...
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