Kendall Rae Fetty
Social Worker in Gallipolis, OH. Individual provider (NPI-1).
NPI number1831689413
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1831689413
- Entity type
- Individual (NPI-1)
- Name
- Kendall Rae Fetty
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 18, 2018
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
10 Myrtle AveGallipolis, OH 45631-9772
Phone 740-208-7462
Mailing address
257 E 200 S Ste 350Salt Lake City, UT 84111-2085
Is something wrong?
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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