NPI 1023559283

Kerilyn Woodbridge Kimball

Practitioner Military Health Care Provider Portsmouth, VA

Practice location

Address: 620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Phone: (860) 716-7630

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 20A16745 (CA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023559283
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2017
Record last updated: 17 Sep 2021

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.