Individual
KIMBERLY RAICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
210 BLACK GOLD BLVD, HAZARD, KY 41701-2603
(606) 436-0711
(606) 436-0848
Mailing address
210 BLACK GOLD BLVD, HAZARD, KY 41701-2603
(606) 436-0711
(606) 436-0848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4350P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013265
—
KY
Enumeration date
08/15/2005
Last updated
07/27/2007
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