Kierstin Nicole Booth
Technician, Personal Care Attendant in Kermit, WV. Individual provider (NPI-1).
NPI number1700487501
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1700487501
- Entity type
- Individual (NPI-1)
- Name
- Kierstin Nicole Booth
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
47186 Route 152Kermit, WV 25674
Phone 304-928-3507
Mailing address
47186 Route 152Kermit, WV 25674
Phone 304-928-3507
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Other Personal Care Attendant providers in Kermit, WV
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All 63 Personal Care Attendant providers in Kermit · All 98 providers in Kermit
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