Mary Rutledge
Individual provider Active NPI Personal Care Attendant · Kenna, WV
NPI 1295340784 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1295340784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2311 Emma Rd
Kenna, WV 25248-7653 - Phone
- (304) 549-2995
- NPI assigned
- Sep 10, 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
2311 Emma Rd
Kenna, WV 25248-7653
Mailing address
2311 Emma Rd
Kenna, WV 25248-7653
Phone (304) 549-2995
Other providers in Kenna, WV
- Jason Ray Phillips
- Benjamin Randall Poling
- Walter Price III
- Emily Rhodes
- Tracy Dawn Roberts
- Rebecca Sheets
- Melissa Ann Wentz
- Asiah R Winnell
- Virginia Sue Young
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 Sep 10, 2020. 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.