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Individual

KENNETH JEFFREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
209 BILLS BRANCH RD, LOGAN, WV 25601-5025
(304) 896-1652
Mailing address
209 BILLS BRANCH RD, LOGAN, WV 25601-5025

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/18/2025
Last updated
06/18/2025
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