Individual
KIMBERLY DAWN PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1559 SYCAMORE RUN RD, MINERAL WELLS, WV 26150-8285
(304) 483-7669
Mailing address
1559 SYCAMORE RUN RD, MINERAL WELLS, WV 26150-8285
(304) 483-7669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
328683
OH
163W00000X
Registered Nurse
Primary
48278
WV
Other
Enumeration date
01/25/2009
Last updated
01/25/2009
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