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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427169408 NPPES
West Virginia MEDICAID 7103093000
West Virginia MEDICAID 2633814

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