Most Relevant Information
Provider Data
| NPI Number: | 1003411166 |
| Provider Name: | KIMBERLY CAMPBELL |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/04/2020 |
| Last Updated: | 12/04/2020 |
Provider Practice Location
4329 HUGHES BRANCH RD
HUNTINGTON
WV
257019768
Practice Location Phone/Fax
| Phone: | 3047331094 |
| Fax: |
Provider Mailing Location
3569 MATE CREEK ROAD
MATEWAN
WV
25678
Provider Mailing Phone/Fax
| Phone: | 3049283715 |
| Fax: |