Jeniece M Kegley
Physical Therapist in Fairmont, West Virginia
1033754353- Practice location
- 1539 Country Club RD, Fairmont, WV 26554-1306
- Phone
- 843-235-9393
- Fax
- —
- Last updated
- February 14, 2020
Jeniece Marie Kegley is a Physical Therapist based in Fairmont, WV. Jeniece Marie Kegley practices in Fairmont, WV. The NPI Number for Jeniece Marie Kegley is 1033754353 and holds a License No. PT31710 (FL). The current practice location address for Jeniece Marie Kegley is 1539 Country Club RD, Fairmont, WV 26554-1306 and can be reached out via phone at 843-235-9393.
Provider Profile Details
- NPI Number
- 1033754353
- Provider Name
- Jeniece Marie Kegley
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1539 Country Club RD, Fairmont, WV 26554-1306
- Phone Number
- 843-235-9393
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 11, 2019
- Last Update Date
- February 14, 2020
- Certification Date
- February 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1539 Country Club RD
Fairmont, WV 26554-1306 - City
- Fairmont
- State
- West Virginia
- Zip
- 26554-1306
- Phone Number
- 843-235-9393
Provider Business Mailing Address Details
- Address
- 655 S Willow St Ste 128
Manchester, NH 03103-5717 - City
- Manchester
- State
- NH
- Zip
- 03103-5717
License Information
- License Number (1)
- PT31710
- License State (1)
- FL
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 9038
- License State (2)
- SC
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 1286726
- License State (3)
- TX
- Taxonomy (3)
- Physical Therapist · 225100000X
- License Number (4)
- 004043
- License State (4)
- WV
- Taxonomy (4)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Fairmont, WV
View all Physical Therapists in Fairmont →Frequently Asked Questions
What is the NPI number of Jeniece M Kegley?
The NPI number of Jeniece M Kegley is 1033754353. It was assigned on November 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Jeniece M Kegley?
Jeniece M Kegley is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in FL under license number PT31710.
Where does Jeniece M Kegley practice?
The practice location is 1539 Country Club RD, Fairmont, WV 26554-1306. The office can be reached at 843-235-9393 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033754353 directly on the NPPES registry website.