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Individual

KIMBERLY DAWN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
500 POPLAR ST STE 204, SOUTH CHARLESTON, WV 25309-1472
(304) 414-2895
(304) 414-2898
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
(304) 414-4801

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54281
WV

Other

Enumeration date
08/30/2006
Last updated
04/22/2022
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