Individual
KIMBERLY MARIE FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 JENNIFER RD STE 240, ANNAPOLIS, MD 21401-7995
(410) 571-9000
(410) 266-1507
Mailing address
170 JENNIFER RD STE 240, ANNAPOLIS, MD 21401-7995
(410) 571-9000
(410) 266-1507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04388
MD
Other
Enumeration date
01/14/2011
Last updated
09/22/2020
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