Clagg, Kathryn J

Clagg, Kathryn J is an individual health care provider with primary practice located at 936 State Route 160 , Gallipolis OH 45631-8243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clagg, Kathryn J can be contacted via phone (740) 446-4600.

Contact Information

Primary practice address
936 State Route 160 Gallipolis OH 45631-8243
Phone: (740) 446-4600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0035068 Ohio

Profile Details

NPI number 1740060078
LBN Legal business name Clagg, Kathryn J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2023
Last updated Dec 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740060078 NPPES
West Virginia Other 117747 WV LICENSE
West Virginia Other APRN.CNP.0035068 WV LICENSE

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