NPI 1154483865
Katherine Keely Burnside, PAC
Practice location
- Address
- 1 Amalia Dr, Buckhannon, WV 26201-2239
- Phone
- (304) 473-2066
- Fax
- (304) 472-0533
Registered specialties
Physician Assistant
Primary
Registry record
- NPI
- 1154483865
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Dec 2006
- Record last updated
- 8 Jul 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.