Kimberly Marie Benton

Individual provider Active NPI Personal Care Attendant · Keyser, WV

NPI 1861089401 · NPPES record last updated Dec 29, 2020

Key facts

NPI
1861089401
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
313 Virginia St
Keyser, WV 26726-2533
Phone
(304) 303-8006
NPI assigned
Dec 29, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

313 Virginia St
Keyser, WV 26726-2533

Mailing address

313 Virginia St
Keyser, WV 26726-2533
Phone (304) 303-8006

Other providers in Keyser, WV

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

Sources for this page

Verify at the official NPI Registry.