Kimbrough Ambulatory Care Center
NPI #1649320276 in Fort Meade, Maryland
Provider Information
- NPI Number
- 1649320276
- Entity Type
- Organization
- Organization Name
- Kimbrough Ambulatory Care Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2480 LLEWELLYN AVE
- City
- Fort Meade
- State
- Maryland
- ZIP Code
- 20755-5800
- Phone
- (301) 677-8949
Authorized Official
- Name
- DENISE MARIE EVANGELISTA
- Title
- REGISTERED NURSE
- Phone
- (301) 677-8949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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