Individual
MRS. KIMBERLY SHAW LUMPKIN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
113 DUKE OF GLOUCESTER ST, ANNAPOLIS, MD 21401-2528
(410) 990-4233
Mailing address
939 BARRACUDA COVE CT, ANNAPOLIS, MD 21409-4718
(443) 370-9833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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