Individual
KYRA DEMOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 BLAKE ST, BARBOURSVILLE, WV 25504-2216
(304) 962-3672
Mailing address
1211 BLAKE ST, BARBOURSVILLE, WV 25504-2216
(304) 962-3672
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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