Individual
DR. KIMBERLEY L. BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2955 IVY ROAD, SUITE 205, CHARLOTTESVILLE, VA 22908-1205
(434) 243-4500
(434) 293-8570
Mailing address
BOX 801205, CHARLOTTESVILLE, VA 22908-1205
(434) 243-4500
(434) 293-8570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049102
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005808332
—
VA
01
—
014930
CIGNA
VA
01
—
110223492
MEDICARE RAILROAD
VA
01
—
141034
ANTHEM
VA
01
—
142730
SOUTHERN HEALTH
VA
01
—
5128211
AETNA
VA
01
—
893814
MAMSI
VA
Enumeration date
11/30/2005
Last updated
08/16/2012
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