Individual
MS. KIMBERLY ANNE LEFTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN-FNP
Contact information
Practice address
165 LEGRANDE AVE, CHARLOTTE COURT HOUSE, VA 23923-3747
(434) 542-5560
(434) 542-5745
Mailing address
PO BOX 470, CHARLOTTE COURT HOUSE, VA 23923-0470
(434) 542-5560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001160613
VA
363LF0000X
Family Nurse Practitioner
Primary
0024166238
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010094909
—
VA
05
—
010094925
—
VA
05
—
10094887
—
VA
Enumeration date
12/01/2005
Last updated
09/07/2016
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