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Contact Information

KIMBERLY BRENWALT
218 3RD ST
ELKINS, WV26241-3833
 Phone: 304-636-5195
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY BRENWALT · (Female)

NPI # 1770193906
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2020
Last updated 08/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 66746
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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