DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAYLA CLISSO

Active Sole Proprietor

KAYLA CLISSO is a Community Health Worker healthcare provider located in PRINCETON, West Virginia. NPI 1053905174 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · PRINCETON, WV

Registration Details

NPI Number
1053905174
Provider Type
Individual
Gender
Female
NPI Issued
Mar 1, 2021 (5.4601124159986 yrs)
Last Updated
Mar 1, 2021
Sole Proprietor
Yes

Practice Information

Address
202 MAHOOD AVE
PRINCETON, WV, 247402618
Browse WV providers · Browse ZIP 24740
Phone
3049523283
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in PRINCETON, WV

Name Credential NPI
BRITTANY PEAK 1568054674
JENNIFER HAGERMAN 1437741436
KATHY WILLIAMS 1114519097
TASHA BOSWELL 1780277673
AMY SPARKS 1861085789
GIBSON VARNEY 1811580525
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.