Kimbrough Acc Military Mtf

NPI #1649296815 in Frederick, Maryland

Provider Information

NPI Number
1649296815
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
Jul 14, 2006
Last Updated
Apr 1, 2015

Practice Location

Address
1434 PORTER ST
Address 2
FORT DETRICK
ZIP Code
21702-9210
Phone
(301) 619-7175

Authorized Official

Name
TERRI KIMBROW
Title
UBO MANAGER
Phone
(301) 677-8512

Specialties & Taxonomy Codes

Specialty
Military/U.S. Coast Guard Pharmacy
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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