Individual
DR. KIMBERLY B NA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 295-9360
(703) 295-9369
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(709) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101238662
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139180
ANTHEM
VA
01
—
251774
KAISER
VA
01
—
292850
AMERIGROUP
VA
01
—
484645
NCPPO
VA
01
—
9397154
PHCS
VA
01
—
K142-0001
CAREFIRST
VA
Enumeration date
07/26/2006
Last updated
07/09/2007
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