Kalee Tyler Branham
Individual provider Active NPI Case Manager/Care Coordinator · Kenova, WV
NPI 1063023398 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1063023398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1401 Chestnut St
Kenova, WV 25530-1235 - Phone
- (304) 453-2800
- Fax
- (304) 453-2820
- NPI assigned
- Aug 11, 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1401 Chestnut St
Kenova, WV 25530-1235
Mailing address
1401 Chestnut St
Kenova, WV 25530-1235
Phone (304) 453-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810024363 | Medicaid | WV |
Other providers in Kenova, WV
- Taelor Blevins
- Nicole Renee Boone
- Bradlee Booth
- Kristi Bostic
- Christopher Scott Brackman
- Cynthia Breedlove
- Breanna Nicole Brewer
- Jori Louise Brim
- James Seth Brown
- Kelly Ann Brown
All providers in Kenova, WV · Case Manager/Care Coordinator 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 Aug 11, 2020. 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.