Kimberlee M Middlekauff, PA
Physician Assistant in Charlottesville, VA. Individual provider (NPI-1).
NPI number1629675475
StatusActive
Last updated in NPPESSep 13, 2024
Details
- NPI
- 1629675475
- Entity type
- Individual (NPI-1)
- Name
- Kimberlee M Middlekauff
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2020
- Certification date
- Sep 13, 2024
- Last updated
- Sep 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110007433 | VA | Yes |
| 207L00000X | Anesthesiology | 0110007433 | VA |
Practice location
1215 Lee StCharlottesville, VA 22908-0816
Phone 434-924-3627
Mailing address
Po Box 749112Atlanta, GA 30374-9112
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