Individual
KENNISHA DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 4TH AVE STE 1, SOUTH CHARLESTON, WV 25303-1266
(304) 744-4940
Mailing address
325 4TH AVE STE 1, SOUTH CHARLESTON, WV 25303-1266
(304) 744-4940
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/18/2023
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