Individual
KELIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1000 DISTRICT DR APT 2312, MORGANTOWN, WV 26505-2887
(304) 440-8860
Mailing address
1000 DISTRICT DR APT 2312, MORGANTOWN, WV 26505-2887
(304) 440-8860
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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