Individual
ANGELA KAY KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARKET PL, BRIDGEPORT, WV 26330-9168
(304) 848-5570
Mailing address
100 MARKET PL, BRIDGEPORT, WV 26330-9168
(304) 848-5570
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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