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NPI Code Detail

MEDICARE: KIMBERLY DILLON COMPTON P.A.

MEDICARE: KIMBERLY DILLON COMPTON P.A.
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
1363A00000XPhysician Assistant0110 001045VA

General Provider Information

NPI Number : 1871590562
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY DILLON COMPTON P.A.
Provider Business Mailing Address
First Line : PO BOX 1019
Second Line :
City : STUART
State : VA
Zip : 24171-1019
Country : US
Telephone Number : 276-694-4466
Fax Number : 276-694-2909
Provider Business Practice Location Address
First Line : 18877 JEB STUART HIGHWAY
Second Line : HIGHWAY 58
City : STUART
State : VA
Zip : 24171-1019
Country : US
Telephone Number : 276-694-4466
Fax Number : 276-694-2909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 05/16/2024

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Directions to “ KIMBERLY DILLON COMPTON P.A.” Practice Location

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