Taelor Blevins

Individual provider Active NPI Personal Care Attendant · Kenova, WV

NPI 1386425619 · NPPES record last updated Oct 12, 2023

Key facts

NPI
1386425619
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1401 Chestnut St
Kenova, WV 25530-1235
Phone
(304) 453-2800
NPI assigned
Oct 12, 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

1401 Chestnut St
Kenova, WV 25530-1235

Mailing address

1401 Chestnut St
Kenova, WV 25530-1235
Phone (304) 453-2800

Other providers in Kenova, WV

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

Sources for this page

Verify at the official NPI Registry.