Kisha Smith
Technician, Personal Care Attendant in Craigsville, WV. Individual provider (NPI-1).
NPI number1144827007
StatusActive
Last updated in NPPESOct 5, 2020
Details
- NPI
- 1144827007
- Entity type
- Individual (NPI-1)
- Name
- Kisha Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2020
- Certification date
- Oct 5, 2020
- Last updated
- Oct 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
284 Herold StCraigsville, WV 26205-8056
Phone 304-619-8176
Mailing address
284 Herold StCraigsville, WV 26205-8056
Phone 304-619-8176
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Other Personal Care Attendant providers in Craigsville, WV
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All 27 Personal Care Attendant providers in Craigsville · All 95 providers in Craigsville
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