Katherine Conley

Individual provider Active NPI Home Health Aide · Davin, WV

NPI 1093547879 · NPPES record last updated Aug 19, 2024

Key facts

NPI
1093547879
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
782 Autumn LN
Davin, WV 25617
Phone
(304) 601-3262
NPI assigned
Aug 19, 2024
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
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

782 Autumn LN
Davin, WV 25617

Mailing address

PO Box 131
Davin, WV 25617-0131

Other providers in Davin, WV

All providers in Davin, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.