Individual
KIMBERLY R WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3333 DRUSILLA LN, BATON ROUGE, LA 70809-2418
(225) 924-3906
Mailing address
3333 DRUSILLA LN, BATON ROUGE, LA 70809-2418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9701129
NC
207R00000X
Internal Medicine Physician
Primary
DO.000192
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811131
—
LA
Enumeration date
01/10/2006
Last updated
05/21/2012
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