Individual
KELLY GITTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BOYCE DR, CHESTER, WV 26034-1733
(304) 724-0038
Mailing address
275 BOYCE DR, CHESTER, WV 26034-1733
(304) 724-0038
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/22/2020
Last updated
01/04/2021
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