Mikenna Armentrout
Individual provider Active NPI Personal Care Attendant · Keyser, WV
NPI 1740908367 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1740908367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 30 S E St
Keyser, WV 26726-2432 - Phone
- (304) 790-4041
- NPI assigned
- Aug 19, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
30 S E St
Keyser, WV 26726-2432
Mailing address
30 S E St
Keyser, WV 26726-2432
Phone (304) 790-4041
Other providers in Keyser, WV
- Kari Amtower
- Kathryn Amtower
- Steven R Amtower
- Joshua David Andrews
- Christine Anthony
- Christian Arnold
- Jennifer Susan Ashby
- Beverly Ann Baker
- Daria Baker
- Josie Lynn Baker
All providers in Keyser, 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 Aug 19, 2022. 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.