Individual
MRS. KIMBERLY MEADE SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 752-1804
(304) 852-0207
Mailing address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 752-1804
(304) 752-0207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47114
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060164000
—
WV
Enumeration date
06/10/2008
Last updated
06/10/2008
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