Individual
KIMBERLY DAWN RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5414 BALLARD RED SULPHUR PKWY, PETERSTOWN, WV 24963-6048
(304) 793-2628
(304) 936-0155
Mailing address
5414 BALLARD RED SULPHUR PKWY, PETERSTOWN, WV 24963-6048
(304) 793-2628
(304) 936-0155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24416
WV
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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