Ellen Louise Kennan

NPI #1992391882 in Keyser, West Virginia

Provider Information

NPI Number
1992391882
Entity Type
Individual
Name
Ellen Louise Kennan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Dec 15, 2020
Last Updated
Dec 15, 2020

Practice Location

Address
599 W PIEDMONT ST
City
Keyser
ZIP Code
26726-2406
Phone
(304) 813-6012

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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