Individual
KELLSIE ANN GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1951 ELLIS FORK RD, CHAPMANVILLE, WV 25508-5468
(304) 928-9244
Mailing address
1951 ELLIS FORK RD, CHAPMANVILLE, WV 25508-5468
(304) 928-9244
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
41669
WV
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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