Individual
KIMBERLY JOY HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2280 IVY RD, STE 1304, CHARLOTTESVILLE, VA 22903
(434) 243-3600
(434) 243-4454
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06422
NC
363A00000X
Physician Assistant
Primary
0110008926
VA
Other
Enumeration date
04/14/2016
Last updated
08/10/2023
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