Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN DAYLE KEATON
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · MAXWELTON, WV
Registration Details
- NPI Number
- 1770109399
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2020 (5.8796389308886 yrs)
- Last Updated
- Jun 19, 2020
- License
-
44356 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
804 INDUSTRIAL PARK RD STE 1MAXWELTON, WV, 249578066Browse WV providers · Browse ZIP 24957
- Phone
- 3044970500
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
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.