Individual provider · Type 1 NPI

Kylie Jo Davina Shetler, LPN

Licensed Practical Nurse · Clarksburg, WV

NPI number 1750294278 Active

Practice location

706 Oakmound Rd
Clarksburg, WV 26301-9398

Mailing address

305 Ash Ave
Clarksburg, WV 26301-4030

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X42099 (WV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1750294278

Kylie Jo Davina Shetler, LPN's National Provider Identifier is 1750294278, issued on Sep 25, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Clarksburg, WV. The record was last updated on Sep 25, 2026.