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Individual

KEVIN CLEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
65 AMBRITT DR, WASHINGTON, WV 26181-1502
(304) 588-8508
Mailing address
65 AMBRITT DR, WASHINGTON, WV 26181-1502

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
05/28/2025
Last updated
05/28/2025
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