Jeniece Marie Kegley

NPI #1033754353 in Fairmont, West Virginia

Provider Information

NPI Number: 1033754353
Entity Type: Individual
Name: Jeniece Marie Kegley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 11, 2019
Last Updated: Feb 14, 2020

Practice Location

Address: 1539 COUNTRY CLUB RD
City: Fairmont
State: West Virginia
ZIP Code: 26554-1306
Phone: (843) 235-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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