Pettry, Kenneth

Pettry, Kenneth is an individual health care provider with primary practice located at 105 Clifftop Dr , Beaver WV 25813-9301. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Pettry, Kenneth can be contacted via phone (304) 252-3394.

Contact Information

Primary practice address
105 Clifftop Dr Beaver WV 25813-9301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1669041448
LBN Legal business name Pettry, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2021
Last updated Nov 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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