Individual
KELLEY DORCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 GREENWAY AVE APT 3, SOUTH CHARLESTON, WV 25309-1451
(681) 895-2892
Mailing address
505 GREENWAY AVE APT 3, SOUTH CHARLESTON, WV 25309-1451
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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