Cross, Kimberly Sue
Cross, Kimberly Sue is an individual health care provider with primary practice located at 800 Pennsylvania Ave , Charleston WV 25302-3351. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Cross, Kimberly Sue can be contacted via phone (304) 388-2526.Contact Information
Primary practice address
800 Pennsylvania Ave
Charleston WV 25302-3351
Phone: (304) 388-2526
Fax: (304) 388-2537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19689 | West Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19689 | West Virginia |
Profile Details
| NPI number | 1689671406 |
|---|---|
| LBN Legal business name | Cross, Kimberly Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 5th, 2019 - about 5 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 | 1689671406 | NPPES |
| West Virginia | Other | 7354454 | AETNA |
| West Virginia | MEDICAID | 3002030000 | AETNA |
| West Virginia | Other | 001721334 | AETNA |
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