Kirsten Medlock
Individual provider Active NPI Personal Care Attendant · Volga, WV
NPI 1063295772 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1063295772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 8488 Clarksburg Rd
Volga, WV 26238-7541 - Phone
- (304) 472-9259
- NPI assigned
- Aug 16, 2023
- 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
8488 Clarksburg Rd
Volga, WV 26238-7541
Mailing address
501 Wilson LN
Elkins, WV 26241-5216
Phone (304) 636-9326
Other providers in Volga, WV
- Marlena Yasmine Dib
- Ashley Foltz
- Jenny Lynn Haddix
- Serenity Halterman
- Letitia Machelle Jackson
- Erica Scheuvront
- Amy Walker
All providers in Volga, 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 Aug 16, 2023. 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.