Individual
KIMBERLY A. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-6537
Mailing address
PO BOX 11314, BELFAST, ME 04915-4004
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017144927
VA
Other
Enumeration date
09/21/2018
Last updated
11/19/2020
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