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Individual

KIMBERLEY IRENE FEDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1200 BENNS CHURCH BLVD, SMITHFIELD, VA 23430-6063
(757) 357-3254
(757) 357-3488
Mailing address
417 LANE CRES, SMITHFIELD, VA 23430-1651

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208999
VA
183500000X
Pharmacist
RP440501
PA

Other

Enumeration date
03/27/2011
Last updated
03/27/2011
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