Loralee Brown

Individual provider Active NPI Peer Specialist · Kenova, WV

NPI 1013734896 · NPPES record last updated Sep 24, 2024

Key facts

NPI
1013734896
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
802 Oak St
Kenova, WV 25530-1519
Phone
(304) 908-1056
Fax
(304) 400-6620
NPI assigned
Sep 24, 2024
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
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

802 Oak St
Kenova, WV 25530-1519

Mailing address

802 Oak St
Kenova, WV 25530-1519
Phone (304) 908-1056

Other providers in Kenova, WV

All providers in Kenova, WV · Peer Specialist in West Virginia

Sources for this page

Verify at the official NPI Registry.