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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMALISA KAY SHAMBLIN, BA, RT(R)(CT), RVT

Active

KIMALISA KAY SHAMBLIN, BA, RT(R)(CT), RVT is a 2471C3401X healthcare provider located in SOUTH CHARLESTON, West Virginia. NPI 1982909800 is currently active in the NPPES registry. Verify at CMS.

2471C3401X · SOUTH CHARLESTON, WV

Registration Details

NPI Number
1982909800
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2011 (15.560629370556 yrs)
Last Updated
Jan 25, 2011
Licenses
1540 (WV)
1540 (WV)
1540 (WV)
1540 (WV)
1540 (WV)

Practice Information

Address
428 DIVISION ST
SOUTH CHARLESTON, WV, 253091469
Browse WV providers · Browse ZIP 25309
Phone
3047669617
Primary Specialty
2471C3401X
2471C3401X
Additional Specialty
Radiologic Technologist
Additional Specialty
2471C3401X
Additional Specialty
2471C3402X
Additional Specialty
Diagnostic Sonographer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.