Individual
KURTIS GAIL NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1537 UPPER NICUT RD, CHLOE, WV 25235-8039
(304) 655-9900
Mailing address
1537 UPPER NICUT RD, CHLOE, WV 25235-8039
(304) 655-9900
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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