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NPI Code Detail

MEDICARE: MS. KIMBERLY ANNE PRITCHARD PHD, ATC

MEDICARE:  MS. KIMBERLY ANNE PRITCHARD  PHD, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer0126001280VA

General Provider Information

NPI Number : 1215177142
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY ANNE PRITCHARD PHD, ATC
Provider Business Mailing Address
First Line : 1460 UNIVERSITY DR
Second Line : DIVISION OF ATHLETIC TRAINING
City : WINCHESTER
State : VA
Zip : 22601-5100
Country : US
Telephone Number : 540-545-7376
Fax Number :
Provider Business Practice Location Address
First Line : 1460 UNIVERSITY DR
Second Line : DIVISION OF ATHLETIC TRAINING
City : WINCHESTER
State : VA
Zip : 22601-5100
Country : US
Telephone Number : 540-454-7376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2009
Last Update Date : 10/16/2014

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Directions to “ MS. KIMBERLY ANNE PRITCHARD PHD, ATC” Practice Location

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