Holton, Kimberley Lisa

Holton, Kimberley Lisa is an individual health care provider with primary practice located at 17549 Ashton Upland Rd , Milton WV 25541-8351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Home Health, which is considered as her primary health care specialty. Holton, Kimberley Lisa can be contacted via phone (304) 208-1311.

Contact Information

Primary practice address
17549 Ashton Upland Rd Milton WV 25541-8351
Phone: (304) 208-1311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Home Health 364SH0200X 36572 West Virginia

Profile Details

NPI number 1689310062
LBN Legal business name Holton, Kimberley Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2022
Last updated May 9th, 2022 - about 2 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 1689310062 NPPES
West Virginia MEDICAID 550675666

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