Individual
GRACEE KLINGENSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
760 MAPLE LAKE RD, BRIDGEPORT, WV 26330-7612
(304) 844-2442
Mailing address
760 MAPLE LAKE RD, BRIDGEPORT, WV 26330-7612
(304) 844-2442
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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