Search › West Virginia › 3747P1801X

Kimberly Streets

NPI 1548089485 · on the registry since 2024

Practice

Address
5045 Simpson Rd
Grafton, WV 26354
Phone
(304) 657-3549

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia