Healthcare Provider Details

I. General information

NPI: 1932308533
Provider Name (Legal Business Name): KRISTIN LYNN CANTERBURY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTIN LYNN ARTHUR M.D.

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 MIDDLETOWN CMNS STE 130
WHITE HALL WV
26554-1068
US

IV. Provider business mailing address

2600 MIDDLETOWN CMNS STE 130
WHITE HALL WV
26554-1068
US

V. Phone/Fax

Practice location:
  • Phone: 833-351-8255
  • Fax:
Mailing address:
  • Phone: 803-608-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number345861
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number26117
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number113834
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: