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NPI Code Detail

MEDICARE: MS. KIMBERLEY V. NEWBILL MSW

MEDICARE:  MS. KIMBERLEY V. NEWBILL  MSW
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
11041C0700XClinical Social Worker
2104100000XSocial WorkerBP03942624WV

General Provider Information

NPI Number : 1407186091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLEY V. NEWBILL MSW
Provider Business Mailing Address
First Line : 8200 BALD RIDGE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-0301
Country : US
Telephone Number : 912-247-3331
Fax Number :
Provider Business Practice Location Address
First Line : 1 KENTON DR STE 200
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1256
Country : US
Telephone Number : 304-513-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2010
Last Update Date : 03/30/2025

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Directions to “ MS. KIMBERLEY V. NEWBILL MSW” Practice Location

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