Individual
KIMBERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3706 PRINCETON PL, I-3, PORTSMOUTH, VA 23707-2450
(757) 673-4476
(757) 673-4814
Mailing address
904 LOUDOUN AVE, SUITE B, PORTSMOUTH, VA 23707-3218
(757) 673-4476
(757) 673-4818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001229913
VA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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