MS. KIMBERLY BOLEN FNP
NPI 1457782179
Nurse Practitioner - Family in Beaver, WV

Active since December 05, 2013
856 RITTER DR, BEAVER, WV 25813(304) 255-4845 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kimberly Bolen Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY BOLEN FNP (NPI 1457782179) is an individual family provider in Beaver, West Virginia, licensed in West Virginia (APRN64281-FNP-BC) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1457782179
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KIMBERLY BOLENCredential: FNP
Location Address856 RITTER DRBeaver, WV 25813-9513
Mailing AddressPo Box 663Cool Ridge, WV 25825-0663 · (304) 222-0479
Sole ProprietorNo
Enumeration DateDecember 5, 2013
Last NPPES UpdateJune 22, 2016
NPI 1457782179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WV · APRN64281-FNP-BC
856 RITTER DR, Beaver, WV 25813

Other Names 1

Other Name (5)Ms. Kim Bolen Np

Other Identifiers 1

Medicare PIN120140218001994WV

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
856 RITTER DR
BEAVER, WV 25813

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Bolen's NPI number?

The NPI number for Kimberly Bolen is 1457782179. It was assigned to this individual provider in the NPPES registry on December 5, 2013. The provider is also known as Ms. Kim Bolen Np.

Where is Kimberly Bolen located?

Kimberly Bolen practices at 856 Ritter Dr, Beaver, WV 25813. The listed phone number is (304) 255-4845.

What is Kimberly Bolen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Bolen was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.