Individual provider · Type 1 NPI

Kimberly Lively, BS

Personal Care Attendant · Princeton, WV

NPI number 1679162549 Active

Practice location

200 12th Street Ext
Princeton, WV 24740-2329

Call (304) 425-9541 Map

Fax (951) 944-0592

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone 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 1679162549

Kimberly Lively, BS's National Provider Identifier is 1679162549, issued on Jan 14, 2021. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Princeton, WV. The record was last updated on Aug 5, 2026.