Individual
DR. KIMBERLY A ROSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 MACCORKLE AVE, SUITE201, CHARLESTON, WV 25304-1223
(304) 342-3360
(304) 342-3363
Mailing address
2617 VIRGINIA AVENUE, CHARLESTON, WV 25304
(304) 881-2600
(304) 342-3363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20839
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004528
—
WV
Enumeration date
09/22/2006
Last updated
07/08/2007
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