Individual provider · NPI-1

Kimberley Paige Ackerman, D.O.

Internal Medicine · Richmond, VA

NPI number1104144948
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1104144948
Entity type
Individual (NPI-1)
Name
Kimberley Paige Ackerman
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
May 4, 2010
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine0102203543VAYes

Practice location

1250 E Marshall St
Richmond, VA 23298-5051

Phone 804-828-3144 · Fax 804-628-7104

Mailing address

Po Box 91734
Richmond, VA 23291-1734

Phone 804-358-6100 · Fax 804-342-7619

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