Bird, Kimberly A.

Bird, Kimberly A. is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Hospitalists Program, Charleston WV 25304-1227. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bird, Kimberly A. can be contacted via phone (304) 388-5848.

Contact Information

Primary practice address
3200 Maccorkle Ave Se Hospitalists Program Charleston WV 25304-1227
Phone: (304) 388-5848
Fax: (304) 388-9654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 49155 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 49155 West Virginia

Profile Details

NPI number 1508814518
LBN Legal business name Bird, Kimberly A.
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508814518 NPPES
West Virginia MEDICAID 7101155000

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