Individual
SARAH KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3500 OLD WASHINGTON RD, SUITE 101, WALDORF, MD 20602-3224
(301) 645-1133
(301) 645-2369
Mailing address
3500 OLD WASHINGTON RD, SUITE 101, WALDORF, MD 20602-3224
(301) 645-1133
(301) 645-2369
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R203789
MD
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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