Kimberly Renee Edens PA-C, MS

NPI 1174577423 - Physician Assistant - 363AM0700X

NPI Details
NPI 1174577423
Gender Female
Enumeration Date 05/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 VETERANS AVE
BECKLEY WV, 25801-6444, US
Phone (304) 255-2121
Fax (304) 255-2431
Business Location
1185 OLD ECCLES RD
BECKLEY WV, 25801-8813, US
Phone (304) 252-0007
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State West Virginia
License Number 1036276-NCCPA#
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According to our database, Mrs. Kimberly Renee Edens PA-C, MS NPI is 1174577423, taxonomy code is 363AM0700X and license number is 1036276-NCCPA#, license state is located at West Virginia. Kimberly Renee Edens PA-C, MS physically located at 200 Veterans Ave, Beckley WV, 25801-6444. NPI Number Kimberly Renee Edens PA-C, MS has the Individual type.

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1174577423 NPI number is provided on an as is basis without warranty of any kind. 1174577423 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Renee Edens PA-C, MS are for informational purposes only.