Kimberley Bishop
Individual provider Active NPI Homemaker · Hurricane, WV
NPI 1346512449 · NPPES record last updated Feb 4, 2012
Key facts
- NPI
- 1346512449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- UD000165151001 (WY)
- Practice address
- RR 12 Box 312
Hurricane, WV 25526-9599 - Phone
- (304) 206-7127
- NPI assigned
- Feb 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UD000165151001 | WY | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | UD000165151001 | WY | Yes |
Addresses
Primary practice location
RR 12 Box 312
Hurricane, WV 25526-9599
Mailing address
PO Box 243
Hurricane, WV 25526-0243
Phone (304) 206-7127
Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.