Individual
KELLI HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 IRA AVE, PRINCETON, WV 24740
(304) 320-4747
Mailing address
PO BOX 5522, PRINCETON, WV 24740-5522
(304) 320-4747
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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