Individual
MRS. KIMBERLY HELEN MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
3000 KEMPTON PARK RD, SUFFOLK, VA 23435-2553
(757) 628-4368
(757) 628-4355
Mailing address
3000 KEMPTON PARK RD, SUFFOLK, VA 23435-2553
(757) 628-4368
(757) 628-4355
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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