Individual
KATHY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5329 DALEWOOD DR, CROSS LANES, WV 25313-1742
(304) 916-3843
Mailing address
255 DEMPSIE AVE, PARKERSBURG, WV 26104-7662
(304) 916-3843
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WV
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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