Individual
KIMBERLEY BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 12 BOX 312, HURRICANE, WV 25526-9599
(304) 206-7127
Mailing address
PO BOX 243, HURRICANE, WV 25526-0243
(304) 206-7127
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
UD000165151001
WY
Other
Enumeration date
02/04/2012
Last updated
02/04/2012
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