Individual
KIMBERLY FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4140 CROSSINGS CT STE 101-103, PRINCE GEORGE, VA 23875-1538
(757) 695-9406
Mailing address
615 ELSINORE PL, CINCINNATI, OH 45202-1459
(833) 510-4357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024184664
VA
Other
Enumeration date
08/16/2022
Last updated
08/23/2022
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