Search › West Virginia › 363LF0000X
Kimberly Jividen, CNP
NPI 1205242369 · on the registry since 2014
Practice
- Address
- 483 Court St
Elizabeth, WV 26143 - Phone
- (304) 275-3301
- Fax
- (304) 275-4798
- Organisation at this address
- Rsm Pharmacy Inc
Mountain River Physical Therapy, Llc
Wirt County Health Services Association, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
163W00000X - Licence states on file
- WV, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-01
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