| Doctor Name: | KELLY JO PAXTON |
| NPI Number: | 1023445087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 44489 |
| Business Practice Address: | 106 Plaza Dr Saint Clairsville, OH - 439508736 |
| Business Phone Number: | 7406992370 |
| Business Fax Number: | |
| Mailing Address: | 2000 Eoff St, WHEELING |
| State: | WV |
| Postal Code: | 260033823 |
| Phone Number: | 3042348663 |
| Fax Number: | 3042348960 |
| NPI Enumeration Date: | 10/03/2013 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 44489 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |