Individual
KIMBERLY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19490 SANDRIDGE WAY STE 170, LEESBURG, VA 20176-3467
(703) 478-0190
(703) 471-0247
Mailing address
19490 SANDRIDGE WAY STE 170, LEESBURG, VA 20176-3467
(703) 723-4088
(703) 723-4564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305006074
VA
Other
Enumeration date
10/25/2006
Last updated
01/21/2022
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