Individual
KOLTEN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
354 AUSTIN ST APT 301, LEWISBURG, WV 24901-1482
(304) 667-2968
Mailing address
PO BOX 1226, RUPERT, WV 25984-1226
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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