Individual provider · Type 1 NPI

Kelly Jo Hazuka, NP-C

Family Nurse Practitioner · Fairmont, WV

NPI number 1205188240 Active

Practice location

100 Avery Olivia Way Ste B
Fairmont, WV 26554-9375

Call (304) 333-1650 Map

Fax (304) 333-1651

Mailing address

100 Avery Olivia Way Ste C
Fairmont, WV 26554-9375

Other practice locations

  • 1500 Grand Central Ave, Suite 115, Vienna, WV 26105-1079 · (304) 489-3815

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X58344 (WV)

Family Nurse Practitioner: Definition to come...

Other family nurse practitioner providers in Fairmont

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About NPI 1205188240

Kelly Jo Hazuka, NP-C's National Provider Identifier is 1205188240, issued on Oct 14, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairmont, WV. The record was last updated on Oct 5, 2017.