Kimball, Clarissa Dawn

Kimball, Clarissa Dawn is an individual health care provider with primary practice located at 3 E Benjamin Dr , New Martinsville WV 26155-2705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kimball, Clarissa Dawn can be contacted via phone (304) 455-8000.

Contact Information

Primary practice address
3 E Benjamin Dr New Martinsville WV 26155-2705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 117628 West Virginia

Profile Details

NPI number 1538948997
LBN Legal business name Kimball, Clarissa Dawn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2023
Last updated Sep 25th, 2023 - about 3 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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