Most Relevant Information
Provider Data
| NPI Number: | 1003587114 |
| Provider Name: | KELSI GRACE VANDRUFF |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2021 |
| Last Updated: | 09/28/2021 |
Provider Practice Location
504 CHERRY ST
MIDDLEBOURNE
WV
261499618
Practice Location Phone/Fax
| Phone: | 3047584919 |
| Fax: | 3047584680 |
Provider Mailing Location
PO BOX 68
MIDDLEBOURNE
WV
261490068
Provider Mailing Phone/Fax
| Phone: | 3047584919 |
| Fax: | 3047584680 |