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Kimberly Lewis

Technician, Personal Care Attendant in Princeton, WV. Individual provider (NPI-1).

NPI number1841007457
StatusActive
Last updated in NPPESDec 17, 2024

Details

NPI
1841007457
Entity type
Individual (NPI-1)
Name
Kimberly Lewis
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 17, 2024
Certification date
Dec 17, 2024
Last updated
Dec 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

712 Mercer St Ste D
Princeton, WV 24740-3114

Phone 304-431-2443

Mailing address

712 Mercer St Ste D
Princeton, WV 24740-3114

Phone 304-431-2443

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