Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE FETHEROLF, PRSS
Active Sole ProprietorKYLE FETHEROLF, PRSS is a Peer Specialist healthcare provider located in HUNTINGTON, West Virginia. NPI 1316458912 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · HUNTINGTON, WV
Registration Details
- NPI Number
- 1316458912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2017 (8.7700673264904 yrs)
- Last Updated
- Oct 27, 2021
- License
-
163662 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1402 4TH AVEHUNTINGTON, WV, 257012403Browse WV providers · Browse ZIP 25701
- Phone
- 3045294276
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Case Manager
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in HUNTINGTON, WV
| Name | Credential | NPI |
|---|---|---|
| BRANDON VARNEY | PRSS | 1982115598 |
| CASSIE L JUSTICE | CMS | 1144873605 |
| ZACHARY BLACK | — | 1528601721 |
| PATRICK JOSEPH BROWN | PR | 1619599024 |
| CHRISTOPHER GRAHAM RAUHECKER | PRSS | 1811581424 |
| JESSICA LEE NEAL | — | 1598349011 |
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.