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Kimberly Farnsworth

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

NPI number1962099192
StatusActive
Last updated in NPPESDec 22, 2020

Details

NPI
1962099192
Entity type
Individual (NPI-1)
Name
Kimberly Farnsworth
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 22, 2020
Certification date
Dec 22, 2020
Last updated
Dec 22, 2020

Taxonomy and licenses

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

Practice location

78 Layton Dr
Clarksburg, WV 26301-6041

Phone 304-203-5553

Mailing address

78 Layton Dr
Clarksburg, WV 26301-6041

Phone 304-203-5553

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