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Stormi Koen

Home Health Aide in Princeton, WV. Individual provider (NPI-1).

NPI number1750278784
StatusActive
Last updated in NPPESJun 23, 2025

Details

NPI
1750278784
Entity type
Individual (NPI-1)
Name
Stormi Koen
Sole proprietor
Yes
Enumeration date
Jun 23, 2025
Certification date
Jun 22, 2025
Last updated
Jun 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

329 Ashley Ln
Princeton, WV 24740-9768

Phone 276-245-6368

Mailing address

329 Ashley Ln
Princeton, WV 24740-9768

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