Lestitian, Katherine A

Lestitian, Katherine A is an individual health care provider with primary practice located at 1 Medical Center Dr , Morgantown WV 26506. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Lestitian, Katherine A can be contacted via phone (304) 293-4180.

Contact Information

Primary practice address
1 Medical Center Dr Morgantown WV 26506
Phone: (304) 293-4180
Fax: (304) 293-5845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052238 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA052238 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0528 West Virginia

Profile Details

NPI number 1427092758
LBN Legal business name Lestitian, Katherine A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 11th, 2021 - about 4 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 1427092758 NPPES
Pennsylvania Other 1560682 GATEWAY-WMG
Pennsylvania Other 1945153 GATEWAY-WMG
Pennsylvania Other 50067315 GATEWAY-WMG

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