Kimberly Revis, is a
Licensed Practical Nurse based in Ashland, Virginia. Kimberly Revis is licensed to practice in Virginia (license number 0002086795) and her current practice location is
12300 Washington Hwy, Ashland, Virginia. She can be reached at her office (for appointments etc.) via phone at
(804) 365-4195.
NPI number for Kimberly Revis is 1629781547 and her current mailing address is 12300 Washington Hwy, Ashland, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629781547.
Provider's Profile
| Full Name | Kimberly Revis |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 12300 Washington Hwy, Ashland, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629781547
- Provider Enumeration Date: 01/05/2023
- Last Update Date: 01/05/2023
Medical Identifiers
Medical identifiers for Kimberly Revis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629781547 | NPI | - | NPPES |
| 111111111 | Other | | HANOVER CSB |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 0002086795 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Revis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Revis,
12300 Washington Hwy,
Ashland, VA 23005-7646
Ph: (804) 365-4195 | Kimberly Revis,
12300 Washington Hwy,
Ashland, VA 23005-7646
Ph: (804) 365-4195 |
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