Healthcare Provider Details

I. General information

NPI: 1801490784
Provider Name (Legal Business Name): KAREN SUE BLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 N SPRING ST
BUCKHANNON WV
26201-2720
US

IV. Provider business mailing address

749 HIDDEN VALLEY RD
JANE LEW WV
26378-6996
US

V. Phone/Fax

Practice location:
  • Phone: 304-472-0395
  • Fax: 304-471-2488
Mailing address:
  • Phone: 304-266-1942
  • Fax: 304-471-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: