Provider Demographics
NPI:1982180055
Name:SPAID, KARI L (APRN)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:L
Last Name:SPAID
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6696 CARPERS PIKE
Mailing Address - Street 2:
Mailing Address - City:YELLOW SPRING
Mailing Address - State:WV
Mailing Address - Zip Code:26865-9249
Mailing Address - Country:US
Mailing Address - Phone:304-856-3185
Mailing Address - Fax:
Practice Address - Street 1:747 N MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:MOOREFIELD
Practice Address - State:WV
Practice Address - Zip Code:26836-1336
Practice Address - Country:US
Practice Address - Phone:304-538-8000
Practice Address - Fax:304-538-8014
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV81966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily