Doctor Name: | KIMBERLY HAHN |
NPI Number: | 1477794709 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 69024 |
Business Practice Address: | Rt 50 East Sunrise Professional Building Romney, WV - 267574737 |
Business Phone Number: | 3048223838 |
Business Fax Number: | 3048227665 |
Mailing Address: | Po Box 1737, ROMNEY |
State: | WV |
Postal Code: | 267574737 |
Phone Number: | 3048223838 |
Fax Number: | 3048227665 |
NPI Enumeration Date: | 03/17/2009 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 69024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |