Individual
KIMBERLY M PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15195 HEATHCOTE BLVD, STE 330, HAYMARKET, VA 20169-6242
(571) 248-0167
(571) 248-0173
Mailing address
15195 HEATHCOTE BLVD, STE 330, HAYMARKET, VA 20169-6242
(571) 248-0167
(571) 248-0173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001585
VA
Other
Enumeration date
06/23/2006
Last updated
08/04/2011
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