Provider Demographics
NPI:1609298363
Name:KIMBERLY, EMILY (VMD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:KIMBERLY
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 UNIVERSITY BLVD W
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2441
Mailing Address - Country:US
Mailing Address - Phone:301-593-6330
Mailing Address - Fax:301-593-1756
Practice Address - Street 1:105 UNIVERSITY BLVD W
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2441
Practice Address - Country:US
Practice Address - Phone:301-593-6330
Practice Address - Fax:301-593-1756
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6534174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian