Individual
KIMBERLY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 154, WILLIAMSON, WV 25661-9724
(304) 475-3138
Mailing address
RR 1 BOX 154, WILLIAMSON, WV 25661-9724
(304) 475-3138
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
63113
WV
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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