CRYSTAL KIMBLE NPI 1417640772

NPI Information

  • NPI: 1417640772
  • Provider Name: CRYSTAL KIMBLE
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 2345 CHESTERFIELD AVE STE 201
    CHARLESTON, WV
    ZIP 25304
  • Phone: (304) 343-2047

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NPI Details

Crystal Kimble is a home health registered nurse in Charleston, WV. Crystal Kimble NPI is 1417640772. 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:

2345 CHESTERFIELD AVE STE 201
CHARLESTON, WV
ZIP 25304-063
Phone: (304) 343-2047

The enumeration date for this NPI number is 6/1/2023 and was last updated on 6/1/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome Health79925WEST 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: 11/21/2025

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