Individual
KIMBERLY REBECCA SAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4607 MACCORKLE AVE SW STE 401, SOUTH CHARLESTON, WV 25309-1364
(304) 414-2127
(304) 414-2120
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
66623
WV
363LF0000X
Family Nurse Practitioner
Primary
106390
WV
Other
Enumeration date
08/16/2020
Last updated
01/08/2021
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