Individual
KIMBERLY L. MCQUEEN BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 MORDINGTON AVENUE, JEFFERSON COUNTY BOE, CHARLES TOWN, WV 25414
(304) 267-3595
(304) 267-3599
Mailing address
110 MORDINGTON AVENUE, JEFFERSON COUNTY BOE, CHARLES TOWN, WV 25414
(304) 267-3595
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
TEMP013255
WV
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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