Individual
KELCY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1768 KINGWOOD PIKE, MORGANTOWN, WV 26508-3935
(304) 319-0170
(304) 319-0170
Mailing address
1768 KINGWOOD PIKE, MORGANTOWN, WV 26508-3935
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38601
WV
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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