Individual
MRS. KIMBERLY DAWN FREITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RNC-MNN, IBCLC
Contact information
Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-3000
Mailing address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 401-9344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001223303
VA
163WL0100X
Lactation Consultant (Registered Nurse)
L-108348
VA
363LF0000X
Family Nurse Practitioner
Primary
0024179612
VA
Other
Enumeration date
06/05/2018
Last updated
09/06/2020
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