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Kimberly A Southam-gerow, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Richmond, Virginia
NPI 1598316424

Kimberly A Southam-gerow is a Psychiatric/Mental Health Nurse Practitioner based in Richmond, VA and is specialized in Psychiatric/Mental Health. Kimberly A Southam-gerow practices in Richmond, VA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kimberly A Southam-gerow is 1598316424 and holds a License No. 0024178278 (Virginia).

The current practice location address for Kimberly A Southam-gerow is 2305 N Parham Rd Ste 3, Richmond, VA and can be reached out via phone at 804-263-4365. You can also correspond with Kimberly A Southam-gerow through the mailing address at 1215 WARREN AVE, RICHMOND, VA - 23227-3739 (mailing address contact number: 804-263-3265).

Location: 2305 N Parham Rd Ste 3, Richmond, VA, 23227-3739
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Provider Profile Details
NPI Number
1598316424
Provider Name
Kimberly A Southam-gerow
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
2305 N Parham Rd Ste 3, Richmond, VA, 23227-3739
Phone Number
804-263-4365
Fax Number
Provider Enumeration Date
09/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024178278 01 VA BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
2305 N Parham Rd Ste 3
City
State
Zip
23229-3156
Phone Number
804-263-4365
Fax Number
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Provider Business Mailing Address Details
Address
2305 N Parham Rd Ste 3
City
State
Zip
23229-3156
Phone Number
804-263-4365
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0024178278 (Virginia)
Definition
Definition to come...
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