Provider First Line Business Practice Location Address:
2480 LLEWELLYN AVE
Provider Second Line Business Practice Location Address:
KIMBROUGH AMBULATORY CARE CENTER
Provider Business Practice Location Address City Name:
FT. MEADE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-245-4511
Provider Business Practice Location Address Fax Number:
717-245-4558
Provider Enumeration Date:
02/13/2007