Individual
MRS. KIMBERLY DAWN PARSONS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1097 FLEDDERJOHN ROAD, STE 3, CHARLESTON, WV 25314
(304) 345-0880
(304) 345-1112
Mailing address
1097 FLEDDERJOHN ROAD, STE 3, CHARLESTON, WV 25314
(304) 345-0880
(304) 345-1112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
860
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113713302003
MTN STATE BCBS
WV
05
—
9202185000
—
WV
Enumeration date
05/23/2006
Last updated
07/08/2007
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