Individual
KELLY SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1599 2ND AVE, CHARLESTON, WV 25387-2514
(304) 344-0586
(304) 344-0586
Mailing address
1599 2ND AVE, CHARLESTON, WV 25387-2514
(304) 344-0586
(304) 344-0586
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
75668
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710103676
—
WV
Enumeration date
07/13/2020
Last updated
07/13/2020
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