Individual
KIMBERLY ANN MATZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2111 COLLEGE AVE, BLUEFIELD INTERNAL MEDICINE, BLUEFIELD, VA 24605
(276) 322-4661
(276) 322-4663
Mailing address
2111 COLLEGE AVE, BLUEFIELD, VA 24605
(276) 322-4661
(276) 322-4663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0110840635
VA
207R00000X
Internal Medicine Physician
590
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001209006
—
WV
05
—
007110459
—
VA
Enumeration date
09/06/2006
Last updated
01/23/2014
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