LARRY KENNETH SMITH

KENOVA, WV
NPI1619577434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-10-30
Last Update Date2020-10-30
Business Address
LARRY KENNETH SMITH
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
Mailing Address
LARRY KENNETH SMITH
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992