Krysten Gilham

Individual provider Active NPI Personal Care Attendant · Inwood, WV

NPI 1750003646 · NPPES record last updated Sep 16, 2022

Key facts

NPI
1750003646
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
622 Ford Cir
Inwood, WV 25428-4479
Phone
(240) 452-5567
NPI assigned
Sep 16, 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

622 Ford Cir
Inwood, WV 25428-4479

Mailing address

622 Ford Cir
Inwood, WV 25428-4479
Phone (240) 452-5567

Other providers in Inwood, WV

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

Sources for this page

Verify at the official NPI Registry.