Individual
KIMBERLY N MOYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Contact information
Practice address
1 ARH LANE, SUITE 800, LOW MOOR, VA 24457
(540) 862-6750
(540) 862-3742
Mailing address
1421 JACKSON RIVER TPKE, HOT SPRINGS, VA 24445-2548
(540) 522-8802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165861
VA
363LF0000X
Family Nurse Practitioner
APRN49612NP
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010118352
—
VA
01
—
VV4007A
MEDICARE PTAN
VA
Enumeration date
08/21/2006
Last updated
05/11/2023
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