Individual
KELLIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 HEMLOCK ST, ELIZABETH, WV 26143-7351
(304) 483-0571
Mailing address
207 HEMLOCK ST, ELIZABETH, WV 26143-7351
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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