Lafferty, Kristi M
Lafferty, Kristi M is an sole proprietor health care provider with primary practice located at 417 Grand Park Dr Ste 106 , Parkersburg WV 26105-4049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lafferty, Kristi M can be contacted via phone (304) 842-3341.Contact Information
Primary practice address
417 Grand Park Dr Ste 106
Parkersburg WV 26105-4049
Phone: (304) 842-3341
Fax: (304) 842-2339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 50679 | West Virginia |
Profile Details
| NPI number | 1427169408 |
|---|---|
| LBN Legal business name | Lafferty, Kristi M |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 17th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427169408 | NPPES |
| West Virginia | MEDICAID | 7103093000 | |
| West Virginia | MEDICAID | 2633814 |
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