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

Timothy Pettry

Individual provider Community Health Worker · NPI 1902513823

Timothy Pettry is a Community Health Worker in Charleston, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

200 Association Dr Ste 130
Charleston, WV 25311-1277
Phone: (304) 988-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1902513823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 31, 2022
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022

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