Individual
KELLIE D BOOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27565 EAST LYNN RD, WAYNE, WV 25570
(304) 634-5319
Mailing address
PO BOX 856, WAYNE, WV 25570-0856
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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