Provider Demographics
NPI:1285661645
Name:HARMAN, KIMBERLY R (DC)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:R
Last Name:HARMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 POLK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JACKSON
Mailing Address - State:VA
Mailing Address - Zip Code:22842-3379
Mailing Address - Country:US
Mailing Address - Phone:540-477-2625
Mailing Address - Fax:540-477-2635
Practice Address - Street 1:5342 MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT JACKSON
Practice Address - State:VA
Practice Address - Zip Code:22842-9511
Practice Address - Country:US
Practice Address - Phone:540-477-2625
Practice Address - Fax:540-477-2635
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556203111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA36555OtherOPTIMA HEALTH
VA115965OtherANTHEM