Individual
BRIAN S KELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
706 SAULSVILLE MOUNTAIN RD, SAULSVILLE, WV 25876-6055
(860) 481-9746
Mailing address
706 SAULSVILLE MOUNTAIN RD, SAULSVILLE, WV 25876-6055
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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