Individual
KENZIE HAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 RIVIERA DRIVE, NEW MANCHESTER, WV 26056
(330) 843-2343
Mailing address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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