Brittney D Church

Individual provider Active NPI Personal Care Attendant · Kimball, WV

NPI 1124745534 · NPPES record last updated Oct 26, 2022

Key facts

NPI
1124745534
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
407 Edith Rd
Kimball, WV 24853-1102
Phone
(304) 888-6794
NPI assigned
Oct 26, 2022
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

407 Edith Rd
Kimball, WV 24853-1102

Mailing address

PO Box 31
Kimball, WV 24853-0031
Phone (304) 888-6794

Other providers in Kimball, WV

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

Sources for this page

Verify at the official NPI Registry.