Individual
AKIA KENNEDY-MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1566 QUARRIER ST APT D, CHARLESTON, WV 25311-2484
(304) 421-1675
Mailing address
1566 QUARRIER ST APT D, CHARLESTON, WV 25311-2484
(304) 421-1675
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
05/09/2022
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