Healthcare Provider Details

I. General information

NPI: 1508632167
Provider Name (Legal Business Name): KIMBERLY GRIFFIN ROBERTSON N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 LAMB CIR STE 250
CHRISTIANSBURG VA
24073-6345
US

IV. Provider business mailing address

213 S JEFFERSON ST STE 1006
ROANOKE VA
24011-1713
US

V. Phone/Fax

Practice location:
  • Phone: 540-731-2712
  • Fax: 540-639-1287
Mailing address:
  • Phone: 540-224-5516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024185705
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: