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Kenneth Pettry
Personal Care Attendant in Beaver, West Virginia
NPI 1669041448

Kenneth Pettry is a Personal Care Attendant based in Beaver, WV and is specialized in Personal Care Attendant. Kenneth Pettry practices in Beaver, WV. The NPI Number for Kenneth Pettry is 1669041448 and holds a License No. (West Virginia).

The current practice location address for Kenneth Pettry is 105 Clifftop Dr, Beaver, WV and can be reached out via phone at 304-252-3394.

Location: 105 Clifftop Dr, Beaver, WV, 25813-9301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669041448
Provider Name
Kenneth Pettry
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 Clifftop Dr, Beaver, WV, 25813-9301
Phone Number
304-252-3394
Fax Number
Provider Enumeration Date
06/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 Clifftop Dr
City
Beaver
State
West Virginia
Zip
25813-9301
Phone Number
304-252-3394
Fax Number
person
Provider Business Mailing Address Details
Address
105 Clifftop Dr
City
Beaver
State
West Virginia
Zip
25813-9301
Phone Number
304-252-3394
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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