| Doctor Name: | MRS. KELLIE MURAD TEEL |
| NPI Number: | 1679962724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, FNP-BC |
| License Number: | 64613 |
| Business Practice Address: | 1002 Barth Ct Elkview, WV - 25071 |
| Business Phone Number: | 3045490684 |
| Business Fax Number: | |
| Mailing Address: | 4610 Kanawha Ave Sw, Ste 200 SOUTH CHARLESTON |
| State: | WV |
| Postal Code: | 253091367 |
| Phone Number: | 3043885395 |
| Fax Number: | 3043885398 |
| NPI Enumeration Date: | 01/13/2015 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 64613 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |