Individual
KIMBERLY BURGOS VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
112 11TH ST SW, CHARLOTTESVILLE, VA 22903-3408
(434) 924-5227
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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