KIMBERLY ANN WALLACE

MORGANTOWN, WV
NPI1457697435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  74136)
Enumeration Date2012-12-20
Last Update Date2012-12-20
Business Address
-- KIMBERLY ANN WALLACE NP-C
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4000
Mailing Address
-- KIMBERLY ANN WALLACE NP-C
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4000