Individual provider · Type 1 NPI

Katie Bloxton

Medical Physician Assistant · South Charleston, WV

NPI number 1891108502 Active

Practice location

4202 Maccorkle Ave SW Ste 200
South Charleston, WV 25309-1513

Call (304) 925-7546 Map

Fax (681) 205-8369

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1119180 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1891108502

Katie Bloxton's National Provider Identifier is 1891108502, issued on Jun 10, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in South Charleston, WV. The record was last updated on Apr 6, 2026.