Kimberly J. Nemati PA-C

NPI 1740511096 - Physician Assistant - 363A00000X

NPI Details
NPI 1740511096
Gender Female
Enumeration Date 01/27/2010
Last Updated 08/10/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
221 W MAPLE AVE
FAYETTEVILLE WV, 25840-1413, US
Phone (304) 574-3960
Fax (304) 574-2179
Business Location
908 SCARBRO RD
PO BOX 337
SCARBRO WV, 25917-8837, US
Phone (304) 574-3960
Fax (304) 574-2179
Toxanomy
Taxonomy Code 363A00000X
License State West Virginia
License Number 01540
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According to our database, Kimberly J. Nemati PA-C NPI is 1740511096, taxonomy code is 363A00000X and license number is 01540, license state is located at West Virginia. Kimberly J. Nemati PA-C physically located at 221 W Maple Ave, Fayetteville WV, 25840-1413. NPI Number Kimberly J. Nemati PA-C has the Individual type.

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1740511096 NPI number is provided on an as is basis without warranty of any kind. 1740511096 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly J. Nemati PA-C are for informational purposes only.