Kelly Bennett Adkins

Individual provider Active NPI Home Health Aide · Logan, WV

NPI 1295528990 · NPPES record last updated May 26, 2025

Key facts

NPI
1295528990
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
645 Stratton St
Logan, WV 25601-4020
Phone
(304) 752-6569
NPI assigned
May 26, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

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
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

645 Stratton St
Logan, WV 25601-4020

Mailing address

645 Stratton St
Logan, WV 25601-4020

Other providers in Logan, WV

All providers in Logan, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.