Individual
MRS. KIMBERLY TYLER OSHIRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9001 DIGGES ROAD, SUITE 106, MANASSAS, VA 20110
(703) 392-5437
(703) 392-0176
Mailing address
9001 DIGGES ROAD, SUITE 106, MANASSAS, VA 20110
(703) 392-5437
(703) 392-0176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101102698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699032904
—
VA
Enumeration date
04/12/2012
Last updated
01/09/2013
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