Individual
KIMBERLY SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TALLMAN AVE APT 402, ELKINS, WV 26241-3270
(304) 614-5648
Mailing address
218 3RD ST, ELKINS, WV 26241-3833
(304) 636-5195
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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