Individual
KELLY ANN BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 JEFFERSON AVE, POINT PLEASANT, WV 25550-1527
(304) 675-7400
Mailing address
2410 JEFFERSON AVE, POINT PLEASANT, WV 25550-1528
(304) 675-7400
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
24958
WV
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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