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Individual

MRS. KIMBERLY LYNNETTE WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
519 GARDEN RD, RED OAK, VA 23964-3020
(434) 579-8717
Mailing address
109 BRIDGE ST, STE 300, DANVILLE, VA 24541-1222
(434) 470-5863

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001251755
VA
363L00000X
Nurse Practitioner
Primary
0024182558
VA
363LF0000X
Family Nurse Practitioner
0024182558
VA

Other

Enumeration date
08/27/2021
Last updated
10/06/2021
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