IndividualActive
Crystal Kimble
NPI 1417640772 · Home Health Registered Nurse · Charleston, WV
Provider details
- NPI number
- 1417640772
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 79925 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
2345 Chesterfield Ave Ste 201
Charleston, WV 25304-1063
Phone: (304) 343-2047
Approximate (ZIP-level) locationGet directions
Mailing address
2345 Chesterfield Ave Ste 201
Charleston, WV 25304-1063
Registry dates
- Enumerated
- 2023-06-01
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.