Individual
ALBERT KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
316 ETENITY LANE, GALLIPOLIS FERRY, WV 25515
(304) 675-0339
Mailing address
316 ETENITY LANE, GALLIPOLIS FERRY, WV 25515
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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