KELLY NICHOLSON

Technician - Personal Care Attendant

Active Individual
NPI: 1699388736

Practice Address

852 PARK AVE
Monongah, WV 26554

Phone: (681) 404-8317

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1699388736 is the National Provider Identifier for KELLY NICHOLSON, a Technician - Personal Care Attendant provider located in Monongah, WV. This NPI was enumerated on August 28, 2020.
KELLY NICHOLSON practices at 852 PARK AVE, Monongah, WV 26554.

Quick Facts

NPI
1699388736
Type
Individual
Enumerated
Aug 28, 2020
Last Updated
Aug 28, 2020

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