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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY LIVELY BS
NPI 1679162549
Technician - Personal Care Attendant in Princeton, WV

Active since January 14, 2021
200 12TH STREET EXT, PRINCETON, WV 24740(304) 425-9541(951) 944-0592 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2026, Jan 14, 2021 (2 updates tracked since 2021).

About Kimberly Lively Bs NPPES

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

KIMBERLY LIVELY BS (NPI 1679162549) is an individual personal care attendant in Princeton, West Virginia and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1679162549
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKIMBERLY LIVELYCredential: BS
Location Address200 12TH STREET EXTPrinceton, WV 24740-2329
Mailing Address200 12th Street ExtPrinceton, WV 24740-2329 · (304) 732-6043 · Fax (951) 944-0592
Phone(304) 425-9541
Fax(951) 944-0592
Sole ProprietorNo
Enumeration DateJanuary 14, 2021
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1679162549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
200 12TH STREET EXT, Princeton, WV 24740
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Other Providers at the Same Location NPPES 20

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

TIFFANY MCGEE PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
DIANNA MICHELLE CANTRELL RBA, MS
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 436-2107
MICHAEL MEADOWS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
CHRIS WILLIAMS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
AMY ENGLAND
Community Health Worker
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
MICHELLE COOPER
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (276) 722-2662
MICHAEL HOLMES PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
PAULINE MOUNTS LPN
Licensed Practical Nurse
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541

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 Lively's NPI number?

The NPI number for Kimberly Lively is 1679162549. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Kimberly Lively located?

Kimberly Lively practices at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-9541.

What is Kimberly Lively's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kimberly Lively was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.