Individual provider · Type 1 NPI

Ketha Nickelson

Personal Care Attendant · Gay, WV

NPI number 1073125621 Active

Practice location

1515 Brush Run Rd
Gay, WV 25244-9090

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: 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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About NPI 1073125621

Ketha Nickelson's National Provider Identifier is 1073125621, issued on Aug 17, 2020. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Gay, WV. The record was last updated on Aug 17, 2020.