Shamblin, Kristen D

Shamblin, Kristen D is an individual health care provider with primary practice located at 331 Laidley St , Charleston WV 25301-1619. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shamblin, Kristen D can be contacted via phone (304) 720-7234.

Contact Information

Primary practice address
331 Laidley St Charleston WV 25301-1619
Phone: (304) 720-7234
Fax: (304) 720-7236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 63250 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 63250 West Virginia

Profile Details

NPI number 1295989119
LBN Legal business name Shamblin, Kristen D
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2008
Last updated Dec 6th, 2010 - about 16 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 1295989119 NPPES
West Virginia Other 1295989119 BLUE SHIELD

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