| Karen Hultman Inc | |
|
439 Elizabeth Hwy Fayetteville WV 25840-6865 | |
| (304) 574-2600 | |
| (304) 574-2951 |
| Full Name | Karen Hultman Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 439 Elizabeth Hwy, Fayetteville, West Virginia |
| Authorized Official Name and Position | Karen Hultman (PRESIDENT) |
| Authorized Official Contact | 3045742600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Hultman Inc 439 Elizabeth Hwy Fayetteville WV 25840-6865 Ph: (304) 574-2600 | Karen Hultman Inc 439 Elizabeth Hwy Fayetteville WV 25840-6865 Ph: (304) 574-2600 |
| NPI Number | 1972594844 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 08/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972594844 | NPI | - | NPPES |
| DA4369 | Other | WV | RR MCARE |
| 001705906 | Other | WV | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 986 (West Virginia) | Primary |
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