Individual
KATHY KEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 GREENBRIER STREET, RUPERT, WV 25984-2598
(304) 392-5138
Mailing address
PO BOX 556, RUPERT, WV 25984-0556
(304) 392-5138
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
50672
WV
Other
Enumeration date
04/01/2021
Last updated
04/02/2021
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