Individual
KIMBERLY KRISTIN AUGUSTYN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5115 BERNARD DR, SUITE 201, ROANOKE, VA 24018-4357
(540) 345-0289
(540) 345-9569
Mailing address
PO BOX 13306, ROANOKE, VA 24032-3306
(540) 345-0289
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102204669
VA
207L00000X
Anesthesiology Physician
072494
GA
207L00000X
Anesthesiology Physician
21107
NH
Other
Enumeration date
04/18/2010
Last updated
01/10/2024
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