Provider Demographics
NPI:1962093435
Name:RAMSEY, CASEY
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2578 OIL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:WV
Mailing Address - Zip Code:26412-7012
Mailing Address - Country:US
Mailing Address - Phone:304-904-7712
Mailing Address - Fax:
Practice Address - Street 1:70 JENNINGS DRIVE
Practice Address - Street 2:
Practice Address - City:EXCHANGE
Practice Address - State:WV
Practice Address - Zip Code:26619
Practice Address - Country:US
Practice Address - Phone:304-765-7855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant