# KIMBROUGH ACC MILITARY MTF

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KIMBROUGH ACC MILITARY MTF
- **Other names:** USADC EDGEWOOD ARSENAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093910374
- **Legal business name:** KIMBROUGH ACC MILITARY MTF
- **Authorized official:** TERRI KIMBROW (UBO MANAGER)
- **Authorized official phone:** (301) 677-8512

## Contact information

- **Practice address:** 4110 AUSTIN ROAD, ABERDEEN PROVING GROUND, MD 21010
- **Practice address phone:** (410) 278-1824
- **Mailing address:** 2480 LLEWELLYN AVE, CDR USAMEDDAC MCXR-BD STE 5800, FORT MEADE, MD 20755-7081
- **Mailing address phone:** (301) 677-8253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 12/18/2012