NPI 1033754353

Jeniece Marie Kegley

Practitioner Physical Therapist Fairmont, WV

Practice location

Address: 1539 Country Club Rd, Fairmont, WV 26554-1306
Phone: (843) 235-9393
Mailing address: 655 S Willow St STE 128, Manchester, NH 03103-5717

Registered specialties (4)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 004043 (WV)

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Registry record

NPI: 1033754353
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2019
Record last updated: 14 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.