Kimberly Renee Edens, PA-C, MS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1036276-NCCPA# Issued in WV

Practice address

200 Veterans Ave
Beckley, WV 25801-6444

Phone

(304) 255-2121

Fax

(304) 255-2431

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174577423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 OLD ECCLES RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258018813",
            "telephone_number": "304-252-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VETERANS AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016444",
            "telephone_number": "304-255-2121",
            "fax_number": "304-255-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENS",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "1036276-NCCPA#",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Suzanne Eastham, BSW, LSW
• Douglass Eaves
• Pam Echols
• Brett Eckley, D.D.S.,M.S.
• L. Edward Eckley, D.D.S.,M.S.
• Christopher Gordon Edwards, D.O.
• Melissa Edwards, LPC
• Roger Edwards, DO
• Lakiah Edwin-Bankston, LPC
• Mayez A El-Harake, MD

• Medical Physician Assistant in Beckley, WV
• Providers in Beckley, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.