Doctor Name: | KIMBERLY ELLEN NEWTON |
NPI Number: | 1083690028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 0001164207 |
Business Practice Address: | 700 24th Street Usameddac Kahc Attn: Credentials Office Fort Lee, VA - 23801 |
Business Phone Number: | 8047349295 |
Business Fax Number: | 8047349016 |
Mailing Address: | 700 24th Street, Usameddac Kahc Attn: Credentials Office FORT LEE |
State: | VA |
Postal Code: | 23801 |
Phone Number: | 8047349295 |
Fax Number: | 8047349016 |
NPI Enumeration Date: | 12/21/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 0001164207 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |