Provider Demographics
NPI:1508593823
Name:HARVEY, CYNTHIA D
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:D
Last Name:HARVEY
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:PO BOX 257
Mailing Address - Street 2:
Mailing Address - City:KINCAID
Mailing Address - State:WV
Mailing Address - Zip Code:25119-0257
Mailing Address - Country:US
Mailing Address - Phone:304-465-8577
Mailing Address - Fax:
Practice Address - Street 1:69 MIDDLE RD. PAGE BOTTOM
Practice Address - Street 2:
Practice Address - City:PAGE
Practice Address - State:WV
Practice Address - Zip Code:25152
Practice Address - Country:US
Practice Address - Phone:304-465-8577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant