Individual
KRISTA KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1591 ROOTS RUN RD, RIVERTON, WV 26814-8635
(304) 567-4442
Mailing address
1591 ROOTS RUN RD, RIVERTON, WV 26814-8635
(304) 567-4442
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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