Kayelynn Lee Lilly
Individual provider Active NPI Personal Care Attendant · Green Spring, WV
NPI 1134727464 · NPPES record last updated Jul 9, 2021
Key facts
- NPI
- 1134727464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 122 Landis LN
Green Spring, WV 26722-4594 - Phone
- (304) 359-5733
- NPI assigned
- Oct 9, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
122 Landis LN
Green Spring, WV 26722-4594
Mailing address
122 Landis LN
Green Spring, WV 26722-4594
Phone (304) 359-5733
Other providers in Green Spring, WV
- Ava Jayne Corbin
- Kiara Crawford
- Sydney Noel Dean
- Steven Hackler
- Katelynn Michelle Hite
- Kitty L Miller
- Timothy Wood Miller
- Alexander S Nelson
- Brittany Nelson
- Melissa Piper
All providers in Green Spring, 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 Jul 9, 2021. 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.