Individual
SHANNON KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 MAIN ST, WHEELING, WV 26003-2829
(304) 905-9860
Mailing address
3643 STATE ST, WEIRTON, WV 26062-4423
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
11/21/2024
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