Individual
DUSTIN KIMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9311 WELLINGTON RD, MANASSAS, VA 20110-4125
(252) 646-0973
Mailing address
10250 LAUNCH CIR APT 301, MANASSAS, VA 20109-4238
(252) 646-0973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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