Healthcare Provider Details

I. General information

NPI: 1710007455
Provider Name (Legal Business Name): KIMBERLY ANN FELDER HAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 WESTERRE PKWY STE 300
RICHMOND VA
23233-1339
US

IV. Provider business mailing address

14731 COBBS POINT DR
CHESTER VA
23836-5908
US

V. Phone/Fax

Practice location:
  • Phone: 804-768-6800
  • Fax: 804-768-6900
Mailing address:
  • Phone: 804-616-6500
  • Fax: 804-768-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: