Individual
DEREK KASHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 497-0500
Mailing address
13175 MIDLAND TRL W, CRAWLEY, WV 24931-7010
(304) 646-5664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/13/2025
Last updated
06/02/2025
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