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KENNETH PETTRY
NPI 1669041448
Technician - Personal Care Attendant in Beaver, WV

Active since June 24, 2021
105 CLIFFTOP DR, BEAVER, WV 25813(304) 252-3394 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2021, Jun 24, 2021 (2 updates tracked since 2021).

About Kenneth Pettry NPPES

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

KENNETH PETTRY (NPI 1669041448) is an individual personal care attendant in Beaver, West Virginia and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1669041448
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameKENNETH PETTRY
Location Address105 CLIFFTOP DRBeaver, WV 25813-9301
Mailing Address105 Clifftop DrBeaver, WV 25813-9301 · (304) 252-3394
Phone(304) 252-3394
Sole ProprietorNo
Enumeration DateJune 24, 2021
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1669041448 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
105 CLIFFTOP DR, Beaver, WV 25813
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA SMITH
Case Manager/Care Coordinator
105 CLIFFTOP DR
BEAVER, WV 25813
Raleigh County (304) 252-3394
MELISSA CHARLTON-SMITH
Technician (Personal Care Attendant)
105 CLIFFTOP DR
BEAVER, WV 25813
Raleigh County (304) 252-3394
LORI KINNEY
Technician (Personal Care Attendant)
105 CLIFFTOP DR
BEAVER, WV 25813
Raleigh County (304) 252-3394
LAUREN FOLSOM
Technician (Personal Care Attendant)
105 CLIFFTOP DR
BEAVER, WV 25813
Raleigh County (304) 252-3394
DARLENE BRAGG
Technician (Personal Care Attendant)
105 CLIFFTOP DR
BEAVER, WV 25813
Raleigh County (304) 252-3394
ELIZABETH ANNE WILSON
Technician (Personal Care Attendant)
105 CLIFFTOP DR
BEAVER, WV 25813
Raleigh County (304) 254-8524
LEISHA BANKS
Case Manager/Care Coordinator
105 CLIFFTOP DR
BEAVER, WV 25813
Raleigh County (304) 252-3394

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 Kenneth Pettry's NPI number?

The NPI number for Kenneth Pettry is 1669041448. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Kenneth Pettry located?

Kenneth Pettry practices at 105 Clifftop Dr, Beaver, WV 25813. The listed phone number is (304) 252-3394.

What is Kenneth Pettry'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 Kenneth Pettry was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.