Pettrone, Kristen Aimee

Pettrone, Kristen Aimee is an individual health care provider with primary practice located at 2500 Hospital Drive , Martinsburg WV 25402-1150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Pettrone, Kristen Aimee can be contacted via phone (304) 264-1000.

Contact Information

Primary practice address
2500 Hospital Drive Martinsburg WV 25402-1150
Phone: (304) 264-1000
Fax: (304) 264-1374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 22745 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2003-00680 North Carolina

Profile Details

NPI number 1760490916
LBN Legal business name Pettrone, Kristen Aimee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 30th, 2010 - about 15 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 1760490916 NPPES
South Carolina MEDICAID N00685
South Carolina MEDICAID 89135JU

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