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Individual

DR. KIMBERLY DAWN TRIPLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1436
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1686
WV
207Q00000X
Family Medicine Physician
Primary
1686
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001468773
BLUE CROSS BLUE SHIELD
WV
01
1053041
WORKERS COMPENSATION
WV
05
2154716
OH
05
2154718
OH
05
3810005500
WV
Enumeration date
05/20/2006
Last updated
05/23/2013
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