Mariah Kelly
Technician, Personal Care Attendant in Charleston, WV. Individual provider (NPI-1).
NPI number1154064772
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1154064772
- Entity type
- Individual (NPI-1)
- Name
- Mariah Kelly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2022
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
416 Wyoming StCharleston, WV 25302-2030
Phone 541-222-9301
Mailing address
Po Box 20112Charleston, WV 25362-1112
Phone 304-344-0586
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All 2,938 Personal Care Attendant providers in Charleston · All 9,831 providers in Charleston
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