Kristine Dawn Cavendish

Individual provider Active NPI Personal Care Attendant · Beaver, WV

NPI 1235817644 · NPPES record last updated Jul 6, 2023

Key facts

NPI
1235817644
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
846 Wandering LN
Beaver, WV 25813-9490
Phone
(304) 619-4900
NPI assigned
Jul 6, 2023
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

846 Wandering LN
Beaver, WV 25813-9490

Mailing address

846 Wandering LN
Beaver, WV 25813-9490
Phone (304) 619-4900

Other providers in Beaver, WV

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

Sources for this page

Verify at the official NPI Registry.