Provider Demographics
NPI:1952331183
Name:CLAGG, KATHY F (RN)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:F
Last Name:CLAGG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:F
Other - Last Name:ROBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 11531
Mailing Address - Street 2:THE CENTER FOR PAIN RELIEF TRI STATE PLLC
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25339-1531
Mailing Address - Country:US
Mailing Address - Phone:304-346-9400
Mailing Address - Fax:304-345-7320
Practice Address - Street 1:2900 FIRST AVENUE FIRST FLOOR
Practice Address - Street 2:THE CENTER FOR PAIN RELIEF TRI STATE PLLC
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702
Practice Address - Country:US
Practice Address - Phone:304-526-8384
Practice Address - Fax:304-526-1951
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23244163WP0000X, 163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic