Individual
KENNETH R LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
785 SUMMERSVILLE LAKE RD, MOUNT NEBO, WV 26679-9203
(304) 883-2334
Mailing address
PO BOX 569, MOUNT NEBO, WV 26679-0569
(130) 488-3233
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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