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Kelli Horton

Community Health Worker in Princeton, WV. Individual provider (NPI-1).

NPI number1831784552
StatusActive
Last updated in NPPESMar 4, 2021

Details

NPI
1831784552
Entity type
Individual (NPI-1)
Name
Kelli Horton
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 4, 2021
Certification date
Feb 11, 2021
Last updated
Mar 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

701 Ira Ave
Princeton, WV 24740

Phone 304-320-4747

Mailing address

Po Box 5522
Princeton, WV 24740-5522

Phone 304-320-4747

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