Kelly Gittings

Individual provider Active NPI Day Training/Habilitation Specialist · Chester, WV

NPI 1053908285 · NPPES record last updated Jan 4, 2021

Key facts

NPI
1053908285
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
275 Boyce Dr
Chester, WV 26034-1733
Phone
(304) 724-0038
NPI assigned
Dec 22, 2020
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
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP
3747P1801X
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

275 Boyce Dr
Chester, WV 26034-1733

Mailing address

275 Boyce Dr
Chester, WV 26034-1733
Phone (304) 724-0038

Other providers in Chester, WV

All providers in Chester, WV · Day Training/Habilitation Specialist in West Virginia

Sources for this page

Verify at the official NPI Registry.