Ashley Isabelle

Individual provider Active NPI Community Health Worker · Kimball, WV

NPI 1366037012 · NPPES record last updated Mar 4, 2021

Key facts

NPI
1366037012
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
206 Galaxy St
Apt 32
Kimball, WV 24853
Phone
(304) 323-8757
NPI assigned
Mar 4, 2021
Sex
Female
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
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

206 Galaxy St
Apt 32
Kimball, WV 24853

Mailing address

PO Box 151
Kimball, WV 24853-0151

Other providers in Kimball, WV

All providers in Kimball, WV · Community Health Worker in West Virginia

Sources for this page

Verify at the official NPI Registry.