Marlena Kirk

Individual provider Active NPI Personal Care Attendant · Kermit, WV

NPI 1306444864 · NPPES record last updated Oct 15, 2020

Key facts

NPI
1306444864
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
332 Route 52 Apt 23
Kermit, WV 25674-8178
Phone
(304) 393-6066
NPI assigned
Oct 15, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

332 Route 52 Apt 23
Kermit, WV 25674-8178

Mailing address

332 Route 52 Apt 23
Kermit, WV 25674-8178
Phone (304) 393-6066

Other providers in Kermit, WV

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

Sources for this page

Verify at the official NPI Registry.