Search › West Virginia › 363LF0000X
Kelly Hazuka, NP-C
NPI 1205188240 · on the registry since 2012
Practice
- Address
- 100 Avery Olivia Way Ste B
Fairmont, WV 26554 - Phone
- (304) 333-1650
- Fax
- (304) 333-1651
Additional practice sites
- 1500 Grand Central Ave, Vienna, WV
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia