Matzel, Kimberly Ann
Matzel, Kimberly Ann is an individual health care provider with primary practice located at 2111 College Ave Bluefield Internal Medicine, Bluefield VA 24605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Matzel, Kimberly Ann can be contacted via phone (276) 322-4661.Contact Information
Primary practice address
2111 College Ave Bluefield Internal Medicine
Bluefield VA 24605
Phone: (276) 322-4661
Fax: (276) 322-4663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0110840635 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 590 | West Virginia |
Profile Details
| NPI number | 1902909872 |
|---|---|
| LBN Legal business name | Matzel, Kimberly Ann |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jan 23rd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902909872 | NPPES |
| West Virginia | MEDICAID | 0001209006 | |
| West Virginia | MEDICAID | 007110459 |
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