Individual
MRS. KATHY ANN EVANS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
128 TREASURE LN, HILLSBORO, WV 24946-8753
(304) 646-7117
Mailing address
128 TREASURE LN, HILLSBORO, WV 24946-8753
(304) 646-7117
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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