Kristin Cochran

Individual provider Active NPI Personal Care Attendant · Letart, WV

NPI 1609598176 · NPPES record last updated Sep 13, 2022

Key facts

NPI
1609598176
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
640 Plain Valley Rd
Letart, WV 25253-9299
Phone
(304) 674-6379
NPI assigned
Sep 13, 2022
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

640 Plain Valley Rd
Letart, WV 25253-9299

Mailing address

640 Plain Valley Rd
Letart, WV 25253-9299
Phone (304) 674-6379

Other providers in Letart, WV

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

Sources for this page

Verify at the official NPI Registry.