Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Jo Hazuka, NP-C

Individual provider Family Nurse Practitioner · NPI 1205188240

Kelly Jo Hazuka, NP-C is a Family Nurse Practitioner in Fairmont, West Virginia. Works from 2 locations. Licensed in West Virginia.

Licensed in
WV
In the registry since
2012
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

100 Avery Olivia Way Ste B
Fairmont, WV 26554-9375
Phone: (304) 333-1650
Fax: (304) 333-1651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Grand Central Ave, Vienna, WV 26105-1079 — (304) 489-3815

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 58344 (WV)

Record details

NPI number1205188240
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 14, 2012
Last updated in NPPESOctober 5, 2017

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