Individual
KIMBERLY M CHESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
640 ALDEN ST, MEADVILLE, PA 16335-2348
(814) 373-5266
(814) 373-5269
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-5266
(814) 373-5269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013176
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102910910
—
PA
Enumeration date
12/20/2013
Last updated
11/19/2019
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