Healthcare Provider Details

I. General information

NPI: 1225942774
Provider Name (Legal Business Name): KIMBERLE RACHELLE FRANCIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 AMERICAN WAY
WEIRTON WV
26062-4081
US

IV. Provider business mailing address

100 25TH ST
WELLSBURG WV
26070-1118
US

V. Phone/Fax

Practice location:
  • Phone: 304-217-3016
  • Fax: 304-843-7854
Mailing address:
  • Phone: 304-559-7515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number39254
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: