# 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:** TMC ABERDEEN PROVING GROUND
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508072281
- **Legal business name:** KIMBROUGH ACC MILITARY MTF
- **Authorized official:** TERRI KIMBROW (C, UBO)
- **Authorized official phone:** (301) 677-8512

## Contact information

- **Practice address:** 2501 OAKINGTON ST, ABERDEEN PROVING GROUND, MD 21005-5131
- **Practice address phone:** (301) 677-8253
- **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:** 05/16/2007
- **Last updated:** 08/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1164507703 | PARENT FACILITY NPI | — |