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Individual

MRS. KIM HICKMAN WERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER F

Contact information

Practice address
RANDOLPH COLLEGE STUDENT HEALTH CENTER, 2500 RIVERMONT AVENUE, LYNCHBURG, VA 24503-1526
(434) 947-8130
(434) 947-8106
Mailing address
RANDOLPH COLLEGE STUDENT HEALTH CENTER, 2500 RIVERMONT AVENUE, LYNCHBURG, VA 24503-1526
(434) 947-8130
(434) 947-8106

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024101663
VA

Other

Enumeration date
12/08/2005
Last updated
01/26/2024
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