Penny Brafford

Individual provider Active NPI Personal Care Attendant · Keyser, WV

NPI 1083200422 · NPPES record last updated Dec 20, 2020

Key facts

NPI
1083200422
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
231 Holler Rd
Keyser, WV 26726-7294
Phone
(304) 790-5220
NPI assigned
Dec 20, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

231 Holler Rd
Keyser, WV 26726-7294

Mailing address

231 Holler Rd
Keyser, WV 26726-7294
Phone (304) 790-5220

Other providers in Keyser, WV

All providers in Keyser, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.