Healthcare Provider Details

I. General information

NPI: 1902721954
Provider Name (Legal Business Name): ALEXCYS KENNEDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1799 MAIN ST E
OAK HILL WV
25901-2341
US

IV. Provider business mailing address

103 PIPER ST
BECKLEY WV
25801-9211
US

V. Phone/Fax

Practice location:
  • Phone: 304-465-0885
  • Fax: 304-471-2488
Mailing address:
  • Phone: 304-627-9342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: