Kierstin Nicole Booth
Individual provider Active NPI Personal Care Attendant · Kermit, WV
NPI 1700487501 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1700487501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 47186 Route 152
Kermit, WV 25674 - Phone
- (304) 928-3507
- NPI assigned
- Nov 6, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
47186 Route 152
Kermit, WV 25674
Mailing address
47186 Route 152
Kermit, WV 25674
Phone (304) 928-3507
Other providers in Kermit, WV
- Robert Bradley Bailey
- Amanda Ann Ball
- Jacob Benjamin Blevins
- Belinda Sue Booth
- Grethel Bowen
- Deborah K Bragg
- Hubert Nile Brewer III
- Michelle Brewer
- Trenna Ann Brewer
All providers in Kermit, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.