Individual
JENNY LYN KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1200 EDWIN MILLER BLVD, MARTINSBURG, WV 25404-3702
(304) 263-4951
Mailing address
1200 EDWIN MILLER BLVD, MARTINSBURG, WV 25404-3702
(304) 263-4951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007244
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0007244
WEST VIRGINIA BOARD OF PHARMACY
WV
Enumeration date
09/12/2020
Last updated
09/12/2020
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