KYRIE JAE NICOLDS

HUNTINGTON, WV
NPI1598446437
Former NameKYRIE JAE SUTHERLAND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-07-25
Last Update Date2023-07-25
Business Address
KYRIE JAE NICOLDS PA-S
1542 SPRING VALLEY DR
HUNTINGTON, WV 25704-9501
Phone number: 304-696-6035
Mailing Address
KYRIE JAE NICOLDS PA-S
1616 SPRING VALLEY DR APT 20
HUNTINGTON, WV 25704-9435
Phone number: 801-564-4186