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Todd Daniel Kisamore
Personal Care Attendant in Charleston, West Virginia
NPI 1851989685

Todd Daniel Kisamore is a Personal Care Attendant based in Charleston, WV and is specialized in Personal Care Attendant. Todd Daniel Kisamore practices in Charleston, WV. The NPI Number for Todd Daniel Kisamore is 1851989685 and holds a License No. (West Virginia).

The current practice location address for Todd Daniel Kisamore is 126 Myrtle Tree Rd, Charleston, WV and can be reached out via phone at 304-356-7073.

Location: 126 Myrtle Tree Rd, Charleston, WV, 25309-8330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851989685
Provider Name
Todd Daniel Kisamore
Credential
Provider Entity Type
Individual
Gender
Male
Address
126 Myrtle Tree Rd, Charleston, WV, 25309-8330
Phone Number
304-356-7073
Fax Number
Provider Enumeration Date
01/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 Myrtle Tree Rd
City
Charleston
State
West Virginia
Zip
25309-8330
Phone Number
304-356-7073
Fax Number
person
Provider Business Mailing Address Details
Address
126 Myrtle Tree Rd
City
Charleston
State
West Virginia
Zip
25309-8330
Phone Number
304-356-7073
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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