SearchWest Virginia374U00000X

Katina Park

NPI 1689562605 · on the registry since 2025 · sole proprietor

Practice

Address
15 Park Pond Rd
Augusta, WV 26704
Phone
(304) 359-4979

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Male
Record last updated
2025-06-26

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