Kenneth Anderson
Kenneth Anderson is a Personal Care Attendant in Madison, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1 Avenue C Ste 110Madison, WV 25130-1100
Phone: (304) 369-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1992311633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 18, 2020 |
| Last updated in NPPES | September 18, 2020 |
| Certification date | September 18, 2020 |
| Mailing address | 1 Avenue C Ste 102, Madison, WV 25130-1100 |
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MS. Jacqueline Kay Bailey X
1 Avenue C Ste 110, Madison, WV 25130-1100 · (304) 369-6400