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Individual
KIMALISA KAY SHAMBLIN
Active
Individual
KIMALISA KAY SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, RT(R)(CT), RVT
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
1540
WV
247100000X
Radiologic Technologist
1540
WV
2471C3401X
Computed Tomography Radiologic Technologist
Primary
1540
WV
2471C3402X
Radiography Radiologic Technologist
1540
WV
2471S1302X
Sonography Radiologic Technologist
1540
WV
2471V0105X
Vascular Sonography Radiologic Technologist
1540
WV
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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