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Kristy Lea Moeller

Nurse Practitioner, Family in Beckley, WV. Individual provider (NPI-1).

NPI number1265031991
StatusActive
Last updated in NPPESOct 23, 2020

Details

NPI
1265031991
Entity type
Individual (NPI-1)
Name
Kristy Lea Moeller
Sex
Female
Sole proprietor
No
Enumeration date
Oct 23, 2020
Certification date
Oct 23, 2020
Last updated
Oct 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family107239WVYes

Practice location

200 Veterans Ave
Beckley, WV 25801-6444

Phone 304-255-2121

Mailing address

Po Box 336
Mount Lookout, WV 26678-0336

Phone 304-663-2540

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