Individual
GREGORY SHANE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2293 LIMESTONE RIDGE RD, NEW MARTINSVILLE, WV 26155-8124
(304) 815-4623
Mailing address
2293 LIMESTONE RIDGE RD, NEW MARTINSVILLE, WV 26155-8124
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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