Russel Gravely
NPI #1316750581 in Kenova, West Virginia
Provider Information
- NPI Number
- 1316750581
- Entity Type
- Individual
- Name
- Russel Gravely
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 30, 2025
- Last Updated
- Jan 30, 2025
Practice Location
- Address
- 1401 CHESTNUT ST
- City
- Kenova
- State
- West Virginia
- ZIP Code
- 25530-1235
- Phone
- (304) 453-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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