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Individual

KENDYL A KIMBERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 MAIN ST STE 104, WHEELING, WV 26003-2737
(304) 460-5123
(800) 734-8498
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2410
WV
101YM0800X
Mental Health Counselor
380
WV
101YP2500X
Professional Counselor
Primary
2410
WV

Other

Enumeration date
03/30/2017
Last updated
04/15/2026
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