Amanda Carter

Individual provider Active NPI Attendant Care Provider · Kenova, WV

NPI 1497396121 · NPPES record last updated Oct 3, 2019

Key facts

NPI
1497396121
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
1624 Beech St
Kenova, WV 25530
Phone
(304) 429-6741
NPI assigned
Oct 3, 2019
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
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

1624 Beech St
Kenova, WV 25530

Mailing address

1624 Beech St
Kenova, WV 25530
Phone (304) 429-6741

Other providers in Kenova, WV

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

Sources for this page

Verify at the official NPI Registry.