Kelly Renee Cottrell
Individual provider Active NPI Personal Care Attendant · Sissonville, WV
NPI 1013515337 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1013515337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 504 Jenna Way
Sissonville, WV 25320-9311 - Phone
- (304) 400-2999
- NPI assigned
- Oct 9, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
504 Jenna Way
Sissonville, WV 25320-9311
Mailing address
504 Jenna Way
Sissonville, WV 25320-9311
Phone (304) 400-2999
Other providers in Sissonville, WV
- Jeffery Todd Black
- Megan E Bowman
- Chad Raymond Brown
- Cabin Creek Health Center Inc
- Cedar Ridge Center Opco, LLC
- Hannah R Crader
- Tonya M Criser
- Cortney Marie Daugherty
- Caitlin Drakos
- Fas Chek Discount Pharmacy
All providers in Sissonville, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.