Gautier, Kellie Faye
Gautier, Kellie Faye is an sole proprietor health care provider with primary practice located at 1468 Ritter Dr , Daniels WV 25832-9356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gautier, Kellie Faye can be contacted via phone (304) 253-3860.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 73240 | West Virginia |
Profile Details
| NPI number | 1215219902 |
|---|---|
| LBN Legal business name | Gautier, Kellie Faye |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2011 |
| Last updated | Jul 17th, 2024 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215219902 | NPPES |
| West Virginia | MEDICAID | 3810021842 |
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