Individual
KIMBERLY LYNN SEABLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6209 NEBRASKA AVE NW, WASHINGTON, DC 20015-1144
(202) 686-3248
Mailing address
6209 NEBRASKA AVE NW, WASHINGTON, DC 20015-1144
(202) 686-3248
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1019558
DC
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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