Individual
MS. KIMBERLY DAWN GUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
64 MADDYS LN, ELKVIEW, WV 25071-9684
(304) 935-4464
Mailing address
64 MADDYS LN, ELKVIEW, WV 25071-9684
(304) 935-4464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005971
WV
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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