Individual
MS. KIMBERLY A. BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3200 MACCORKLE AVE SE, HOSPITALISTS PROGRAM, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Mailing address
3200 MACCORKLE AVENUE SE, OUTPATIENT CARE CLINIC, CHARLESTON, WV 25304
(304) 388-5590
(304) 388-8238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
49155
WV
363LF0000X
Family Nurse Practitioner
Primary
49155
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101155000
—
WV
Enumeration date
05/04/2006
Last updated
12/22/2015
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