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KIMALISA KAY SHAMBLIN BA RT(R)(CT) RVT NPI 1982909800


NPI Information

NPI: 1982909800
Provider Name: KIMALISA KAY SHAMBLIN, BA, RT(R)(CT), RVT
Classification: Radiologic Technologist - 2471C3401X
Entity Type: Individual

Specialization: Computed Tomography

Address:
428 DIVISION ST
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 766-9617
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Kimalisa Kay Shamblin, BA, RT(R)(CT), RVT is a computed tomography radiologic technologist in South Charleston, WV. The provider is a radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care. Kimalisa Kay Shamblin, BA, RT(R)(CT), RVT NPI is 1982909800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

428 DIVISION ST
SOUTH CHARLESTON, WV
ZIP 25309-469
Phone: (304) 766-9617

The enumeration date for this NPI number is 1/25/2011 and was last updated on 1/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246XS1301XSpecialist/Technologist CardiovascularSonography1540WEST VIRGINIANo
2247100000XRadiologic Technologist1540WEST VIRGINIANo
32471C3402XRadiologic TechnologistRadiography1540WEST VIRGINIANo
42471S1302XRadiologic TechnologistSonography1540WEST VIRGINIANo
52471V0105XRadiologic TechnologistVascular Sonography1540WEST VIRGINIANo
62471C3401XRadiologic TechnologistComputed Tomography1540WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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