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NPI Code Detail

MEDICARE: KIMBERLY ELLEN DEMIRHAN RN

MEDICARE:   KIMBERLY ELLEN DEMIRHAN  RN
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
1173000000XLegal MedicineRN1043805DC

General Provider Information

NPI Number : 1609730597
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ELLEN DEMIRHAN RN
Provider Business Mailing Address
First Line : 9528 BLACKBURN DR
Second Line :
City : BURKE
State : VA
Zip : 22015-1714
Country : US
Telephone Number : 610-417-9936
Fax Number :
Provider Business Practice Location Address
First Line : 9528 BLACKBURN DR
Second Line :
City : BURKE
State : VA
Zip : 22015-1714
Country : US
Telephone Number : 610-417-9936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ KIMBERLY ELLEN DEMIRHAN RN” Practice Location

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