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Kimberly Revis
Licensed Practical Nurse in Ashland, Virginia
NPI 1629781547

Kimberly Revis is a Licensed Practical Nurse based in Ashland, VA. Kimberly Revis practices in Ashland, VA. The NPI Number for Kimberly Revis is 1629781547 and holds a License No. 0002086795 (Virginia).

The current practice location address for Kimberly Revis is 12300 Washington Hwy, Ashland, VA and can be reached out via phone at 804-365-4195.

Location: 12300 Washington Hwy, Ashland, VA, 23005-7646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629781547
Provider Name
Kimberly Revis
Credential
Provider Entity Type
Individual
Gender
Female
Address
12300 Washington Hwy, Ashland, VA, 23005-7646
Phone Number
804-365-4195
Fax Number
Provider Enumeration Date
01/05/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111111111 01 HANOVER CSB
institution
Provider Business Practice Location Address Details
Address
12300 Washington Hwy
City
Ashland
State
Virginia
Zip
23005-7646
Phone Number
804-365-4195
Fax Number
person
Provider Business Mailing Address Details
Address
12300 Washington Hwy
City
Ashland
State
Virginia
Zip
23005-7646
Phone Number
804-365-4195
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
0002086795 (Virginia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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