NPI 1417163114
Kimbrough Acc Military Mtf
Practice location
- Address
- 1999 Fisher Ave Fort Indiantown Gap, Annville, PA 17003
- Phone
- (717) 245-4018
- Mailing address
- 2480 Llewellyn Ave Cdr Usameddac McXr-Bd STE 5800, Fort Meade, MD 20755-7081
Authorised official
- Name
- Terri Kimbrow
- Title
- Ubo Manager
- Phone
- (301) 677-8512
Registered specialties
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
Registry record
- NPI
- 1417163114
- Entity type
- Organization
- NPI issued
- 16 May 2007
- Record last updated
- 1 Apr 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.