Search › West Virginia › 103TS0200X
Kelly Vallango, EDS NCSP
NPI 1154690758 · on the registry since 2011 · sole proprietor
Practice
- Address
- 48 Eb Saunders Way
Clarksburg, WV 26302 - Phone
- (304) 624-6554
- Fax
- (304) 624-5223
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia