License Search: Details

Name	Title	Primary Practice Location	Licensed Or Has Been Licensed In
Kimberly Elaine Connor	PA	Triadelphia, WV	PA, PA

License History

License Type	License Number	Status	License Date	Expiration Date
PPA	349	Active	07/10/1989	3/31/2027

Education History

School	Date Completed	Nature of Training
Alderson Broaddus College	05/14/1989	Physician Assistant School

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Other License Action	9/27/2016	Consent Order
Yes	Termination of Consent Order	5/15/2017	Board Order

Malpractice History

No Malpractice Cases On Record

Current Authorizations to Practice

Collaborating Physician	Authorized to Practice	Authorized to Prescribe	Primary Work Location	Designated Alternate Supervisor(s)
Practice Notification,	05/31/2022	Yes	Cardinal Pediatrics, LLC 110 Sims Circle Triadelphia, WV 26059 Additional Work Locations , PA-C Supervising Physician:Practice Notification, Additional Work Locations: Cardinal Pediatrics, LLC Fairmont 101 Tygart Mall Loop, Suite 102A Fairmont, WV 26554 Cardinal Pediatrics, LLC 9000 Coombs Farm Road, Suite 102 Morgantown, WV 26508 Cardinal Pediatrics, LLC 1247 Suncrest Towne Centre Morgantown, WV 26505 Cardinal Pediatrics, LLC Bridgeport 139 Conference Center Way, Suite 113 Bridgeport, WV 26330 Cardinal Pediatrics, LLC Parkersburg 414 Grand Park Drive, Unit 1 Parkersburg, WV 26105 Cardinal Pediatrics, LLC Summersville 1008 Wal Street Summersville, WV 26651

This data was retrieved on 4/20/2026.