Individual
KELLI RENEE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
69 MAZE PLZ, ELIZABETH, WV 26143-5127
(304) 275-5001
Mailing address
69 MAZE PLZ, ELIZABETH, WV 26143-5127
(304) 275-5001
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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