Individual
KENNETH CARTER MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 HALSTEAD STREET, B, ANSTED, WV 25812
(304) 719-9572
Mailing address
PO BOX 724, ANSTED, WV 25812-0724
(304) 719-9572
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
07/05/2021
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