Kimbrough Acc Military Mtf
NPI #1316142607 in Fort Detrick, Maryland
Provider Information
- NPI Number
- 1316142607
- Entity Type
- Organization
- Organization Name
- Kimbrough Acc Military Mtf
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KIMBROUGH ACC MILITARY MTF
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Apr 1, 2015
Practice Location
- Address
- 1434 PORTER ST
- Address 2
- USADC
- City
- Fort Detrick
- State
- Maryland
- ZIP Code
- 21702-9210
- Phone
- (301) 619-7675
Authorized Official
- Name
- TERRI KIMBROW
- Title
- UBO MANAGER
- Phone
- (301) 677-8512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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