Individual
KIM R MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9010 POCAHONTAS TRAIL, PROVIDENCE FORGE, VA 23140
(804) 966-5208
(804) 966-9712
Mailing address
PO BOX 7, QUINTON, VA 23141-0007
(804) 932-1005
(804) 932-9860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002478
VA
Other
Enumeration date
02/16/2007
Last updated
03/13/2008
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