Organization
KIMBROUGH ACC MILITARY MTF
Active
Parent organization
KIMBROUGH ACC MILITARY MTF
Other names
USADC ANDREW RADER-MYER
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBROUGH ACC MILITARY MTF
Authorized official
TERRI KIMBROW (UBO MANAGER)
(301) 677-8512
Entity
Organization
Contact information
Practice address
401 CARPENTER RD, BUILDING 525, FT MYER, VA 22211-1009
(703) 696-3460
Mailing address
2480 LLEWELLYN AVE, CDR USAMEDDAC MCXR-BD STE 5800, FORT MEADE, MD 20755-7081
(301) 677-8253
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
04/01/2015
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