Individual
KIMBERLY DAWN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CNS
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 224-4325
(540) 224-4399
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60835018
WA
163WW0000X
Wound Care Registered Nurse
0001185685
VA
163WW0000X
Wound Care Registered Nurse
AP60835055
WA
363L00000X
Nurse Practitioner
AP60835055
WA
364S00000X
Clinical Nurse Specialist
Primary
0024183837
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2135115
—
WA
Enumeration date
01/10/2014
Last updated
04/05/2023
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