Dr. Kerilyn Woodbridge Kimball - Portsmouth, VA

Dr. Kerilyn Woodbridge Kimball

Military Health Care Provider in Portsmouth, Virginia

NPI 1023559283

Kerilyn Woodbridge Kimball is a Military Health Care Provider based in Portsmouth, VA. Kerilyn Woodbridge Kimball practices in Portsmouth, VA. The NPI Number for Kerilyn Woodbridge Kimball is 1023559283 and holds a License No. (Virginia).

The current practice location address for Kerilyn Woodbridge Kimball is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 860-716-7630.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111

NPI Number

1023559283

Provider Name

Kerilyn Woodbridge Kimball

Credential

Provider Entity Type

Individual

Gender

Female

Address

620 John Paul Jones Cir, Portsmouth, VA, 23708-2111

Phone Number

860-716-7630

Fax Number

Provider Enumeration Date

03/20/2017

Last Update Date

03/09/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

860-716-7630

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

860-716-7630

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

20A16745 (California)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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