Individual
KACEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 S CRIM AVE, BELINGTON, WV 26250-8345
(304) 823-0223
Mailing address
PO BOX 92, BELINGTON, WV 26250-0092
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/24/2020
Last updated
10/21/2021
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