| NPI | 1083189294 |
|---|---|
| Former Name | KATELYN JO COINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN85871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 85871) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2024-05-02 |