Individual
KELLY DIMMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 EDWIN MILLER BLVD STE 101, MARTINSBURG, WV 25404-5717
(304) 728-1750
Mailing address
1314 EDWIN MILLER BLVD STE 101, MARTINSBURG, WV 25404-5717
(304) 728-1750
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R204314
MD
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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