Khristina L Light
NPI #1588335889 in Eleanor, West Virginia
Provider Information
- NPI Number
- 1588335889
- Entity Type
- Individual
- Name
- Khristina L Light
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 26, 2021
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 503 ROOSEVELT BLVD
- City
- Eleanor
- State
- West Virginia
- ZIP Code
- 25070-1390
- Phone
- (304) 757-6999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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