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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KARISSA DICKEN, RN

Active Sole Proprietor

KARISSA DICKEN, RN is a Primary Care Clinic healthcare provider located in MARTINSBURG, West Virginia. NPI 1043631732 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · MARTINSBURG, WV

Registration Details

NPI Number
1043631732
Provider Type
Individual
Gender
Female
NPI Issued
Dec 23, 2013 (12.664832297058 yrs)
Last Updated
Dec 23, 2013
License
R178129 (MD)
Sole Proprietor
Yes

Practice Information

Address
510 BUTLER AVE
MARTINSBURG, WV, 254059990
Browse WV providers · Browse ZIP 25405
Phone
3017240061
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.