Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024178222 | VA |
NPI | 1013566033 |
---|---|
Provider Name | Kimberly Gahring |
First Address | Zion Crossroads, VA 22942-6950 |
Second Address | Charlottesville, VA 22908-0816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2019 |
Last Update Date | 11/09/2019 |