Katelyn Koontz
Technician, Personal Care Attendant in Charleston, WV. Individual provider (NPI-1).
NPI number1265215917
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1265215917
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Koontz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1599 2nd AveCharleston, WV 25387-2514
Phone 304-344-0586
Mailing address
Po Box 20112Charleston, WV 25362-1112
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 2,938 Personal Care Attendant providers in Charleston · All 9,831 providers in Charleston
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