Individual
KEVIN BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 OAKWOOD ST, SCARBRO, WV 25917-8363
(304) 469-1207
Mailing address
61 OAKWOOD ST, SCARBRO, WV 25917-8363
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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