Most Relevant Information
Provider Data
| NPI Number: | 1003404781 |
| Provider Name: | KIMBERLY CLENDENIN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/07/2021 |
| Last Updated: | 01/07/2021 |
Provider Practice Location
2558 WINFIELD RD
SAINT ALBANS
WV
251777804
Practice Location Phone/Fax
| Phone: | 3047552385 |
| Fax: |
Provider Mailing Location
2558 WINFIELD RD
SAINT ALBANS
WV
251777804
Provider Mailing Phone/Fax
| Phone: | 3047552385 |
| Fax: |