NPI Index

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

Radiologic Technologist - Computed Tomography

Active Individual
NPI: 1982909800

Practice Address

428 DIVISION ST
South Charleston, WV 25309

Phone: (304) 766-9617

Specialties

Specialty Code Primary License
Specialist/Technologist Cardiovascular - Sonography 246XS1301X No 1540 (WV)
Radiologic Technologist 247100000X No 1540 (WV)
Radiologic Technologist - Computed Tomography 2471C3401X Yes 1540 (WV)
Radiologic Technologist - Radiography 2471C3402X No 1540 (WV)
Radiologic Technologist - Sonography 2471S1302X No 1540 (WV)
Radiologic Technologist - Vascular Sonography 2471V0105X No 1540 (WV)

Frequently Asked Questions

NPI 1982909800 is the National Provider Identifier for KIMALISA SHAMBLIN, BA, RT(R)(CT), RVT, a Radiologic Technologist - Computed Tomography provider located in South Charleston, WV. This NPI was enumerated on January 25, 2011.
KIMALISA SHAMBLIN, BA, RT(R)(CT), RVT practices at 428 DIVISION ST, South Charleston, WV 25309.

Quick Facts

NPI
1982909800
Type
Individual
Enumerated
Jan 25, 2011
Last Updated
Jan 25, 2011

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