Individual
MRS. KIMBERLY JANE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, CCS
Contact information
Practice address
2070 OLD BRIDGE RD, SUITE 103, WOODBRIDGE, VA 22192-2495
(703) 499-8787
(703) 499-8282
Mailing address
2070 OLD BRIDGE RD, SUITE 103, WOODBRIDGE, VA 22192-2495
(703) 499-8787
(703) 499-8282
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000309
VA
Other
Enumeration date
03/18/2008
Last updated
02/17/2016
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