Hazuka, Kelly Jo

Hazuka, Kelly Jo is an individual health care provider with primary practice located at 100 Avery Olivia Way Ste B , Fairmont WV 26554-9375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hazuka, Kelly Jo can be contacted via phone (304) 333-1650.

Contact Information

Primary practice address
100 Avery Olivia Way Ste B Fairmont WV 26554-9375
Phone: (304) 333-1650
Fax: (304) 333-1651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 58344 West Virginia

Profile Details

NPI number 1205188240
LBN Legal business name Hazuka, Kelly Jo
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2012
Last updated Oct 5th, 2017 - about 7 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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