Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Pettry

Individual provider Personal Care Attendant · NPI 1669041448

Kenneth Pettry is a Personal Care Attendant in Beaver, West Virginia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

105 Clifftop Dr
Beaver, WV 25813-9301
Phone: (304) 252-3394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1669041448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing address105 Clifftop Dr, Beaver, WV 25813-9301

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