Individual
KELLY T CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 FAIRMONT RD, MORGANTOWN, WV 26501-0088
(304) 305-1506
Mailing address
505 STONE ST, BRIDGEPORT, WV 26330-1876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
37395
WV
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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