Individual
MRS. KACEY WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 E ST NW, L209, WASHINGTON, DC 20520-5712
(202) 792-3826
Mailing address
2401 E ST NW, L209, WASHINGTON, DC 20520-5712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA156855
OR
363A00000X
Physician Assistant
Primary
PA200002199
DC
Other
Enumeration date
01/26/2012
Last updated
12/05/2025
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