Kimbrough Acc Military Mtf

NPI #1669675336 in Ft Myer, Virginia

Provider Information

NPI Number
1669675336
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 8, 2007
Last Updated
Apr 1, 2015

Practice Location

Address
401 CARPENTER RD
Address 2
BUILDING 525
ZIP Code
22211-1009
Phone
(703) 696-3460

Authorized Official

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

Specialties & Taxonomy Codes

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

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