Individual
MRS. KIMBERLY J FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
527 MEDICAL PARK DR STE 402, BRIDGEPORT, WV 26330-9010
(681) 342-3690
Mailing address
527 MEDICAL PARK DR STE 402, BRIDGEPORT, WV 26330-9010
(681) 342-3690
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2422
WV
Other
Enumeration date
03/26/2008
Last updated
04/05/2022
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