Individual
MS. VIRGINIA GRIMES KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5999 BURKE COMMONS RD, BURKE, VA 22015-2880
(703) 249-7852
(703) 249-7755
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6W ATTN THERESA BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024122957
VA
Other
Enumeration date
12/02/2006
Last updated
10/05/2010
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