Individual
KIMBERLY SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-7979
Mailing address
45601 S INTERSTATE 94 SERVICE DR, PO BOX 1041, BELLEVILLE, MI 48111-2470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
12/13/2023
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