Individual
DR. KERILYN WOODBRIDGE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(860) 716-7630
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
20A16745
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
09/17/2021
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