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Individual
MRS. KIMBERLY BUTLER VIVALDI
Active
Individual
MRS. KIMBERLY BUTLER VIVALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001119875
VA
163WS0200X
School Registered Nurse
0001119875
VA
363LF0000X
Family Nurse Practitioner
0024119875
VA
Other
Enumeration date
11/16/2006
Last updated
09/11/2025
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