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Kelly Taylor

Technician, Personal Care Attendant in Clay, WV. Individual provider (NPI-1).

NPI number1962077974
StatusActive
Last updated in NPPESMay 21, 2021

Details

NPI
1962077974
Entity type
Individual (NPI-1)
Name
Kelly Taylor
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2021
Certification date
May 10, 2021
Last updated
May 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

172 Main Street
Clay, WV 25043-2504

Phone 304-587-4251

Mailing address

Po Box 455
Clay, WV 25043-0455

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