Individual
KASSIDY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5481 GLADY FORK RD, BUCKHANNON, WV 26201-9676
(304) 997-3743
Mailing address
5481 GLADY FORK RD, BUCKHANNON, WV 26201-9676
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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