Individual provider · Type 1 NPI

Kimberly Renee Edens, PA-C, MS

Medical Physician Assistant · Beckley, WV

NPI number 1174577423 Active

Practice location

200 Veterans Ave
Beckley, WV 25801-6444

Call (304) 255-2121 Map

Fax (304) 255-2431

Mailing address

1185 Old Eccles Rd
Beckley, WV 25801-8813

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1036276-NCCPA# (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1174577423

Kimberly Renee Edens, PA-C, MS's National Provider Identifier is 1174577423, issued on May 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beckley, WV. The record was last updated on Jul 13, 2026.