Individual
MRS. KIMBERLY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
220 JOHNS CREEK ROAD, MILTON, WV 25541-1513
(304) 743-1407
(304) 743-4516
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5159
(304) 523-8115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
72536
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN72536
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097522
—
OH
05
—
1548695844
—
WV
05
—
7100294060
—
KY
Enumeration date
09/05/2013
Last updated
07/18/2024
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