Individual
MRS. KEMBRA ANNE CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 FAYETTE AVENUE, FAYETTE COUNTY BOE, FAYETTEVILLE, WV 25840
(304) 574-1176
Mailing address
PO BOX 1161, ANSTED, WV 25812-1161
(304) 574-0239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
33504
WV
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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