Mary Kelley
Technician, Personal Care Attendant in Barboursville, WV. Individual provider (NPI-1).
NPI number1033845136
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1033845136
- Entity type
- Individual (NPI-1)
- Name
- Mary Kelley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2022
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
652 Main StBarboursville, WV 25504-1439
Phone 304-302-0707
Mailing address
652 Main StBarboursville, WV 25504-1439
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All 3,594 Personal Care Attendant providers in Barboursville · All 4,197 providers in Barboursville
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