Individual
KIMBERLEY LISA HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17549 ASHTON UPLAND RD, MILTON, WV 25541-8351
(304) 208-1311
Mailing address
17549 ASHTON UPLAND RD, MILTON, WV 25541-8351
(304) 208-1311
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
36572
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550675666
—
WV
Enumeration date
05/09/2022
Last updated
05/09/2022
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