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NPI Code Detail

MEDICARE: KIMBERLY O'CONNELL

MEDICARE: KIMBERLY O'CONNELL
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
12255R0406XBlind Rehabilitation Specialist/Technologist

General Provider Information

NPI Number : 1568814366
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY O'CONNELL
Provider Business Mailing Address
First Line : 4600 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-3246
Country : US
Telephone Number : 804-675-5000
Fax Number :
Provider Business Practice Location Address
First Line : 4600 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-3246
Country : US
Telephone Number : 804-675-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2016
Last Update Date : 07/06/2016

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Directions to “ KIMBERLY O'CONNELL ” Practice Location

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