Kimball, Kerilyn Woodbridge

Kimball, Kerilyn Woodbridge is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is her primary health care specialty. Kimball, Kerilyn Woodbridge can be contacted via phone (860) 716-7630.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2111
Phone: (860) 716-7630
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Military Health Care Provider 171000000X 20A16745 California

Profile Details

NPI number 1023559283
LBN Legal business name Kimball, Kerilyn Woodbridge
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Sep 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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