Individual
KIMBERLY CAVILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
341 HOMEWOOD DR, CHARLES TOWN, WV 25414-5162
(304) 274-7356
Mailing address
341 HOMEWOOD DR, CHARLES TOWN, WV 25414-5162
(304) 274-7356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81731
WV
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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