Individual
MS. KIMBERLY A DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
2035 TECHNOLOGY PKWY STE 201, MECHANICSBURG, PA 17050-9422
(717) 221-5940
(717) 223-1939
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP020612
PA
363LF0000X
Family Nurse Practitioner
SP009036
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102966110
—
PA
Enumeration date
07/04/2006
Last updated
03/27/2024
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