Individual
KELLY DAWN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BOULDER DR, SUMMERSVILLE, WV 26651-1531
(304) 618-7543
Mailing address
101 BOULDER DR, SUMMERSVILLE, WV 26651-1531
(304) 618-7543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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