Individual
KIMBERLY J. NEMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
221 W MAPLE AVE, FAYETTEVILLE, WV 25840-1413
(304) 469-2905
(304) 574-2179
Mailing address
908 SCARBRO RD, PO BOX 337, SCARBRO, WV 25917-8837
(304) 574-3960
(304) 574-2179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01540
WV
363A00000X
Physician Assistant
493
WV
Other
Enumeration date
01/27/2010
Last updated
05/18/2020
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