Carolyn Calhoun

Individual provider Active NPI Community Health Worker · Daniels, WV

NPI 1013500867 · NPPES record last updated Feb 12, 2021

Key facts

NPI
1013500867
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
718 Grandview Rd
Daniels, WV 25832-9353
Phone
(304) 763-3875
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

718 Grandview Rd
Daniels, WV 25832-9353

Mailing address

718 Grandview Rd
Daniels, WV 25832-9353

Other providers in Daniels, WV

All providers in Daniels, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.