Individual
KRISTEN KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
Mailing address
408 SETTLEMENT DR, CHARMCO, WV 25958-7054
(304) 667-8968
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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