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Kevin Eugene Clark
Personal Care Attendant in Keyser, West Virginia
NPI 1215700745

Kevin Eugene Clark is a Personal Care Attendant based in Keyser, WV and is specialized in Personal Care Attendant. Kevin Eugene Clark practices in Keyser, WV. The NPI Number for Kevin Eugene Clark is 1215700745 and holds a License No. (West Virginia).

The current practice location address for Kevin Eugene Clark is 87 Maryland St, Keyser, WV and can be reached out via phone at 304-813-3668.

Location: 87 Maryland St, Keyser, WV, 26726-2910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215700745
Provider Name
Kevin Eugene Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
87 Maryland St, Keyser, WV, 26726-2910
Phone Number
304-813-3668
Fax Number
Provider Enumeration Date
11/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
87 Maryland St
City
Keyser
State
West Virginia
Zip
26726-2910
Phone Number
304-813-3668
Fax Number
person
Provider Business Mailing Address Details
Address
87 Maryland St
City
Keyser
State
West Virginia
Zip
26726-2910
Phone Number
304-813-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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