Individual
KIMBERLY J ANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10003 WEBSTER ROAD, CAMDEN ON GAULEY, WV 26208-0069
(304) 226-5725
(304) 226-3274
Mailing address
10003 WEBSTER ROAD, CAMDEN ON GAULEY MEDICAL CENTER INC, CAMDEN ON GAULEY, WV 26208-0069
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32906
WV
363LP2300X
Primary Care Nurse Practitioner
32906
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32906
LICENSE
WV
05
—
7101036000
—
WV
Enumeration date
04/20/2006
Last updated
10/13/2020
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