Provider Demographics
NPI:1770744963
Name:FISCHER, KIMBERLY LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:LYNN
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4844 GEORGE WASHINGTON MEMORIAL HIGHWAY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:WHITE MARSH
Mailing Address - State:VA
Mailing Address - Zip Code:23183
Mailing Address - Country:US
Mailing Address - Phone:804-693-4410
Mailing Address - Fax:804-693-0925
Practice Address - Street 1:4844 GEORGE WASHINGTON MEMORIAL HIGHWAY
Practice Address - Street 2:SUITE 8
Practice Address - City:WHITE MARSH
Practice Address - State:VA
Practice Address - Zip Code:23183
Practice Address - Country:US
Practice Address - Phone:804-693-4410
Practice Address - Fax:804-693-0925
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036144769208800000X
VA0101245695208800000X
CA152716208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036144769OtherSTATE LICENSE