MRS. KRISTIE LYNN KOMOROWSKI MS,CCC/SLP
NPI 1891034112
Nursing Facility/Intermediate Care Facility in Bridgeport, WV

Q: What is Kristie Komorowski's NPI number?

The NPI number for Kristie Komorowski is 1891034112. It was assigned to this individual provider in the NPPES registry on February 6, 2013.

Q: What is Kristie Komorowski's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since February 06, 2013

415 BENEDUM DR, BRIDGEPORT, WV 26330(304) 842-9887(304) 842-9888 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kristie Lynn Komorowski Ms,ccc/slp NPPES

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

MRS. KRISTIE LYNN KOMOROWSKI MS,CCC/SLP (NPI 1891034112) is an individual nursing facility/intermediate care facility provider in Bridgeport, West Virginia, licensed in West Virginia (SLP-0942) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1891034112

Entity TypeIndividualFemale

Primary Taxonomy313M00000X

Provider Legal NameMRS. KRISTIE LYNN KOMOROWSKICredential: MS,CCC/SLP

Location Address415 BENEDUM DRBridgeport, WV 26330-1503

Mailing Address415 Benedum DrBridgeport, WV 26330-1503 · (304) 842-9887 · Fax (304) 842-9888

Phone(304) 842-9887

Fax(304) 842-9888

Sole ProprietorYes

Enumeration DateFebruary 6, 2013

✔ NPI 1891034112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in WV · SLP-0942

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

415 BENEDUM DR, Bridgeport, WV 26330

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