| Mrs Katie Sue Hunt, FNP-BC | |
|
107 Koontz Ave, Clendenin, WV 25045-9578 | |
| (304) 548-7272 | |
| (304) 548-7149 |
| Full Name | Mrs Katie Sue Hunt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 107 Koontz Ave, Clendenin, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962040261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 105113 (West Virginia) | Primary |
| Entity Name | Cabin Creek Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366495525 PECOS PAC ID: 2466431101 Enrollment ID: O20130905000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katie Sue Hunt, FNP-BC 104 Alex Ln, Charleston, WV 25304-2952 Ph: (304) 734-2040 | Mrs Katie Sue Hunt, FNP-BC 107 Koontz Ave, Clendenin, WV 25045-9578 Ph: (304) 548-7272 |
Eva Jo Ditmer, APRN, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 | |
Kerry Drabish, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 | |
Candice Henson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 |