Victoria Sue Kerrigan

Individual provider Active NPI Personal Care Attendant · Waverly, WV

NPI 1013514900 · NPPES record last updated Oct 5, 2020

Key facts

NPI
1013514900
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
3034 Bull Run Rd
Waverly, WV 26184-8122
Phone
(304) 482-1492
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

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
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

3034 Bull Run Rd
Waverly, WV 26184-8122

Mailing address

3034 Bull Run Rd
Waverly, WV 26184-8122
Phone (304) 482-1492

Other providers in Waverly, WV

All providers in Waverly, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.