Individual
KIMBERLY WILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2285
(301) 777-5832
Mailing address
25000 HAMMER TIME LN, FLINTSTONE, MD 21530-3074
(301) 697-0564
(301) 777-5832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R200304
MD
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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