Individual
KIMBERLEE M MIDDLEKAUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-3627
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0110007433
VA
363A00000X
Physician Assistant
Primary
0110007433
VA
Other
Enumeration date
10/05/2020
Last updated
09/13/2024
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