KATIE CARPENTER

SOUTH CHARLESTON, WV
NPI1891108502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: WV  1119180)
Enumeration Date2014-06-10
Last Update Date2021-02-11
Business Address
KATIE CARPENTER
4202 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV 25309-1513
Phone number: 304-925-7546
Mailing Address
KATIE CARPENTER
4202 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV 25309-1513
Phone number: 304-925-7546