Kimble, Jeffrey G
Kimble, Jeffrey G is an individual health care provider with primary practice located at 211 Virginia Avenue , Petersburg WV 26847. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kimble, Jeffrey G can be contacted via phone (304) 257-1759.Contact Information
Primary practice address
211 Virginia Avenue
Petersburg WV 26847
Phone: (304) 257-1759
Fax: (304) 257-1759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | WV3430 | West Virginia |
Profile Details
| NPI number | 1578621645 |
|---|---|
| LBN Legal business name | Kimble, Jeffrey G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1578621645 | NPPES |
| West Virginia | MEDICAID | 7800023000 |
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