Individual
KIMBERLY W. SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, PATHOLOGY, RICHMOND, VA 23298-5051
(804) 828-9746
(804) 828-9749
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101234713
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010266181
—
VA
05
—
010266190
—
VA
05
—
010266211
—
VA
05
—
010267056
—
VA
05
—
010267111
—
VA
05
—
010267129
—
VA
Enumeration date
05/12/2006
Last updated
05/28/2008
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