Etta Jean Kendall
Technician, Personal Care Attendant in Elkins, WV. Individual provider (NPI-1).
NPI number1104646017
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1104646017
- Entity type
- Individual (NPI-1)
- Name
- Etta Jean Kendall
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2024
- Certification date
- Oct 8, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Other names
- Etta Jean Smith (Former Name)
Practice location
#1 Fifth StElkins, WV 26241
Phone 304-636-4747 · Fax 304-636-7724
Mailing address
Po Box 727Elkins, WV 26241-0727
Phone 304-636-4747 · Fax 304-636-7724
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All 1,433 Personal Care Attendant providers in Elkins · All 2,352 providers in Elkins
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