Individual
KIMBERLY CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
240 MEDICAL PARK BLVD STE 3600, BRISTOL, TN 37620-7349
(423) 990-2405
(423) 990-2414
Mailing address
245 MEDICAL PARK DR, FIRST FLOOR, MARION, VA 24354-1100
(276) 378-1341
(276) 378-1205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024174145
VA
363LF0000X
Family Nurse Practitioner
Primary
23423
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356883235
—
VA
Enumeration date
11/09/2016
Last updated
01/25/2018
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