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NPI Code Detail

MEDICARE: KIMBERLY ISAACS

MEDICARE: KIMBERLY ISAACS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1245188358
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ISAACS
Provider Business Mailing Address
First Line : 2558 WINFIELD RD
Second Line :
City : SAINT ALBANS
State : WV
Zip : 25177-7804
Country : US
Telephone Number : 307-755-2385
Fax Number :
Provider Business Practice Location Address
First Line : 2558 WINFIELD RD
Second Line :
City : SAINT ALBANS
State : WV
Zip : 25177-7804
Country : US
Telephone Number : 307-755-2385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ KIMBERLY ISAACS ” Practice Location

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