Connor, Kimberly Elaine

Connor, Kimberly Elaine is an individual health care provider with primary practice located at 110 Sims Circle , Triadelphia WV 26059-1154. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Connor, Kimberly Elaine can be contacted via phone (304) 599-8000.

Contact Information

Primary practice address
110 Sims Circle Triadelphia WV 26059-1154
Phone: (304) 599-8000
Fax: (304) 599-8003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-41918
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 349 West Virginia

Profile Details

NPI number 1174827893
LBN Legal business name Connor, Kimberly Elaine
Credentials PA-C, CLE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2011
Last updated Feb 4th, 2021 - about 4 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 1174827893 NPPES
West Virginia MEDICAID 1174827893
West Virginia MEDICAID 018811

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