Individual
KIMBERLIE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-1880
Mailing address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-1880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001259239
VA
363LF0000X
Family Nurse Practitioner
Primary
0024181387
VA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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