Individual
DR. MIRANDA JORDAN KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
422 KINETIC DR STE A, HUNTINGTON, WV 25701-5268
(304) 525-0016
Mailing address
1008 WETHERSFIELD XING, HURRICANE, WV 25526-8716
(304) 545-8133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4470
WV
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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