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Individual

KIMBERLY FULLER INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
1330 OAK LN STE 203, LYNCHBURG, VA 24503-2513
(434) 528-2179
Mailing address
121 RIDGE DR, AMHERST, VA 24521-3105
(434) 841-8457

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0024175459
VA
363LF0000X
Family Nurse Practitioner
Primary
0024175459
VA

Other

Enumeration date
10/01/2017
Last updated
11/12/2024
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