MS. KIMBERLY BOLEN (NPI# 1457782179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457782179 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY BOLEN |
| Other Name | MS. KIM BOLEN |
| Credential | FNP |
| Practice Address |
856 Ritter Dr Beaver WV 25813-9513 |
| Mailing Address |
Po Box 663 Cool Ridge WV 25825-0663 |
| Practice Telephone | 3042554845 |
| Mailing Telephone | 3042220479 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2016-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN64281-FNP-BC | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093128902 | Kimberly Curry Bolen | Pediatrics | 1801 Sunset Dr, Children's Hospital Outpatient Center, Columbia, SC 29203 | 2014-06-09 |
| Street Address |
856 RITTER DR |
| City | BEAVER |
| State | WV |
| Zip Code | 25813-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235170192 | Mousa I Dababnah | Specialist | 856 Ritter Dr, Beaver, WV 25813-9513 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303689 | Jeanie Rae Hosler | Technician | 1897 Fitzpatrick Rd, Glen Morgan, WV 25813 | 2020-10-14 |
| 1699383448 | Anthony Ray Wills | Technician | 1110 Old Crow Rd, Beaver, WV 25813 | 2020-07-17 |
| 1053858191 | Mary Fox | Physical Therapy Assistant | 100 Grey Stone Drive, Beaver, WV 25813 | 2017-01-27 |
| 1912224676 | Amber Marie Lilly | Occupational Therapist | 200 Greystone Drive, Beaver, WV 25813 | 2010-04-21 |
| 1073735346 | Dominick Harry Mclain | Emergency Medicine | 1600 Industrial Park Road, Beaver, WV 25813 | 2007-05-03 |
| 1457476525 | M I Dababnah Md Inc | Clinic/Center | 856 S. Ritter Dr., Beaver, WV 25813 | 2007-03-20 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1033212493 | David Mccormack Dds | Dentist | 701 Ritter Dr, Beaver, WV 25813 | 2006-09-07 |
| 1518060276 | West Virginia Cvs Pharmacy LLC | Pharmacy | Rte 19 21 Ritter Drive, Beaver, WV 25813 | 2006-09-07 |
| 1518073907 | Sherry L Duvall | Nurse Practitioner | 134 Medical Place, Airport Industrial Park, Commerce Drive, Beaver, WV 25813 | 2006-08-21 |
| Find all providers in zip 25813 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364762 | Karla Marie Elias | Nurse Practitioner | 102 Jodi Dr, Beaver, PA 15009-9522 | 2020-10-20 |
| 1952932642 | Derek Allen Lawhorn | Nurse Practitioner | 32 Sunset Ln, Beaver, OH 45613-9319 | 2020-01-31 |
| 1164910469 | Susan Elizabeth Bull | Nurse Practitioner | 1480 2nd St Fl 1, Beaver, PA 15009-2414 | 2018-04-23 |
| 1750824595 | Amanda Leigh Nuzzo | Nurse Practitioner | 108 Duncan Cir, Beaver, PA 15009-9660 | 2016-11-28 |
| 1871785261 | Jill Keneda Bailey | Nurse Practitioner | 993 Ritter Dr, Beaver, WV 25813-9556 | 2007-08-09 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1093357915 | Vanessa Ann Sidick | Nurse Practitioner | 4 Peartree Way, Beaver, PA 15009-1954 | 2019-10-11 |
| 1922580703 | Amanda Hope Bary | Nurse Practitioner | 1 Peartree Way, Beaver, PA 15009-1954 | 2018-08-29 |
| 1275077208 | Brian Yorns | Nurse Practitioner | 605 Sharon Rd, Beaver, PA 15009-1919 | 2016-12-09 |
| 1629475835 | Wendy Robison | Nurse Practitioner | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2014-12-03 |
| Find all providers in BEAVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.