Provider Demographics
NPI:1902832512
Name:KIMBALL, PAMELA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:MARIE
Last Name:KIMBALL
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:737 N 5TH ST STE 100
Mailing Address - Street 2:BOX 980005
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1441
Mailing Address - Country:US
Mailing Address - Phone:804-828-9543
Mailing Address - Fax:804-828-3433
Practice Address - Street 1:737 N 5TH ST STE 100
Practice Address - Street 2:BOX 980005
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1441
Practice Address - Country:US
Practice Address - Phone:804-828-9543
Practice Address - Fax:804-828-3433
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2011-10-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics