Benjamin Randall Poling
Individual provider Active NPI Personal Care Attendant · Kenna, WV
NPI 1164025318 · NPPES record last updated Jul 5, 2022
Key facts
- NPI
- 1164025318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 16248 Charleston Rd
Kenna, WV 25248-7036 - Phone
- (304) 377-3891
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- 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
16248 Charleston Rd
Kenna, WV 25248-7036
Mailing address
16248 Charleston Rd
Kenna, WV 25248-7036
Phone (304) 377-3891
Other providers in Kenna, WV
- Dorothy L McCombs
- Jacqueline McDonough
- William Paul McDonough Jr.
- Collen Moore
- Jason Ray Phillips
- Walter Price III
- Emily Rhodes
- Tracy Dawn Roberts
- Mary Rutledge
- Rebecca Sheets
All providers in Kenna, 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 5, 2022. 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.