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KETHA NICKELSON
NPI 1073125621
Technician - Personal Care Attendant in Gay, WV

Active since August 17, 2020
1515 BRUSH RUN RD, GAY, WV 25244(304) 531-5832 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ketha Nickelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETHA NICKELSON (NPI 1073125621) is an individual personal care attendant in Gay, West Virginia and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1073125621
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKETHA NICKELSON
Location Address1515 BRUSH RUN RDGay, WV 25244-9090
Mailing Address1515 Brush Run RdGay, WV 25244-9090 · (304) 531-5832
Phone(304) 531-5832
Sole ProprietorNo
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1073125621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
1515 BRUSH RUN RD, Gay, WV 25244
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketha Nickelson's NPI number?

The NPI number for Ketha Nickelson is 1073125621. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Ketha Nickelson located?

Ketha Nickelson practices at 1515 Brush Run Rd, Gay, WV 25244. The listed phone number is (304) 531-5832.

What is Ketha Nickelson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Ketha Nickelson was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.