Kathy Davis Hudnall
Individual provider Active NPI Home Health Aide · Beaver, WV
NPI 1073406997 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1073406997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 349 Old Worley Rd
Beaver, WV 25813-9588 - Phone
- (304) 890-0120
- NPI assigned
- May 30, 2025
- Sex
- Unspecified or another gender identity
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
349 Old Worley Rd
Beaver, WV 25813-9588
Mailing address
349 Old Worley Rd
Beaver, WV 25813-9588
Other providers in Beaver, WV
- Genese Lashawn Cox
- Kara Cox
- Jateiya Cross
- Mousa I Dababnah
- David McCormack DDS
- Lisa M Davis
- Gina Renae Dean
- Kenneth Gail Dilley
- Amanda Rene Duesing
- Janelle Carey Dunn
All providers in Beaver, WV · Home Health Aide 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 May 30, 2025. 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.