KAITLYNN ELIZABETH CULLEN (NPI# 1609258979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609258979 |
| Entity Type | Individual |
| Full Name | KAITLYNN ELIZABETH CULLEN |
| Credential | PA-C, ATC |
| Practice Address |
1000 Mon Health Medical Park Dr Ste 1103 Morgantown WV 26505-1143 |
| Practice Telephone | 3045991448 |
| Mailing Telephone | 3045991448 |
| Mailing Fax Number | 3045995335 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2282 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2282 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 MON HEALTH MEDICAL PARK DR STE 1103 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326121567 | Lindsay Annette Fowkes | Nurse Practitioner | 1000 Mon Health Medical Park Dr Ste 1103, Morgantown, WV 26505-1143 | 2006-10-23 |
| 1558757435 | Byron Dodson | Surgery | 1000 Mon Health Medical Park Dr Ste 1103, Morgantown, WV 26505-1143 | 2015-04-08 |
| 1568746675 | Daniel J Vikartosky | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1103, Morgantown, WV 26505 | 2011-10-07 |
| 1972894301 | Kristen Statler | Surgery | 1000 Mon Health Medical Park Dr Ste 1103, Morgantown, WV 26505 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649561408 | Trell Marie Stowell | Physician Assistant | 1 Medical Center Drive, Suite 9238, Wvu Dept. of Surgery, Morgantown, WV 26506 | 2011-04-28 |
| 1275035685 | Holly Harris | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-03-01 |
| 1538688650 | Nancy Balewski | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-09-11 |
| 1295259117 | Josee Leigh Zydonik | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-08-02 |
| 1043756216 | Isaac Edmonds | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-01-12 |
| 1891238390 | Kelsey Workman | Physician Assistant | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2016-12-01 |
| 1982154787 | Kaitlyn Cook | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2016-10-05 |
| 1992106132 | Jacquelyn Marie Cunningham | Physician Assistant | One Medical Center Dr., Morgantown, WV 26505 | 2014-09-08 |
| 1720330103 | Adam B Cosner | Physician Assistant | 1 Medical Center Drive, Morgantown, WV 26506 | 2012-10-09 |
| 1538411913 | Amanda E Moran | Physician Assistant | 1 Medical Center Drive, Morgantown, WV 26506 | 2012-10-09 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on KAITLYNN ELIZABETH CULLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.