Individual
KIMBERLY D PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
103 DAVIS STUART ROAD, RONCEVERTE, WV 24970
(304) 645-7546
(304) 645-7547
Mailing address
103 DAVIS STUART ROAD, RONCEVERTE, WV 24970
(304) 645-7546
(304) 645-7547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
813
WV
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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