Individual
KIMBERLY C GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6600 W BROAD ST STE 300, RICHMOND, VA 23230-1710
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY STE 102, NORTH CHESTERFIELD, VA 23225-5515
(804) 320-4243
(804) 282-1486
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101239959
VA
207R00000X
Internal Medicine Physician
0101239959
VA
208000000X
Pediatrics Physician
0101239959
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417267683
GROUP NPI
—
05
—
1932130531
—
VA
Enumeration date
07/05/2006
Last updated
09/09/2021
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