Individual
JERRY ALLEN KANODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
361 NORTHVIEW AVE, PRINCETON, WV 24740-3827
(304) 952-2949
Mailing address
361 NORTHVIEW AVE, PRINCETON, WV 24740-3827
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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