MEDICARE: KAYELYNN LEE LILLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1134727464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYELYNN LEE LILLY

Provider Business Mailing Address
First Line	:	122 LANDIS LN
Second Line	:
City	:	GREEN SPRING
State	:	WV
Zip	:	26722-4594
Country	:	US
Telephone Number	:	304-359-5733
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 LANDIS LN
Second Line	:
City	:	GREEN SPRING
State	:	WV
Zip	:	26722-4594
Country	:	US
Telephone Number	:	304-359-5733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2020
Last Update Date	:	07/09/2021

Similar Medicare Providers

1073276846 — KATIE KNOUS PHARMD
Practice Location Address:

27702 S SLATE HILLS LN
SPRING, TX
77386-4594

Practice Phone: 936-263-2567
Practice Fax:

1467062596 — KATELYNN MICHELLE HITE
Practice Location Address:

2485 GREENSPRING VALLEY RD
GREEN SPRING, WV
26722-4647

Practice Phone: 304-240-7376
Practice Fax:

1992319693 — SYDNEY NOEL DEAN
Practice Location Address:

79 PERFORMANCE DR
GREEN SPRING, WV
26722-4607

Practice Phone: 240-920-2500
Practice Fax:

1962016568 — JENNIFER LYNN CHRISTOPHEL
Practice Location Address:

2485 GREENSPRING VALLEY RD
GREEN SPRING, WV
26722-4647

Practice Phone: 304-433-7921
Practice Fax:

1750984787 — TAYLOR KATE STEWART
Practice Location Address:

115 NORTON STREET
GREEN SPRING, WV
26722-2672

Practice Phone: 540-336-4362
Practice Fax:

1013509124 — ALEXANDER S NELSON
Practice Location Address:

1182 ARNOLD STICKLEY RD
GREEN SPRING, WV
26722-4510

Practice Phone: 304-492-5997
Practice Fax:

Directions to “ KAYELYNN LEE LILLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.