Individual
MS. KIMBERLY BOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
856 RITTER DR, BEAVER, WV 25813-9513
(304) 255-4845
Mailing address
PO BOX 663, COOL RIDGE, WV 25825-0663
(304) 222-0479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN64281-FNP-BC
WV
Other
Enumeration date
12/05/2013
Last updated
06/22/2016
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