Provider Demographics
NPI:1083805683
Name:WYRICK, KIMBERLEY (DO)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:
Last Name:WYRICK
Suffix:
Gender:
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:886 SUGAR MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4636
Mailing Address - Country:US
Mailing Address - Phone:540-327-1385
Mailing Address - Fax:540-304-3295
Practice Address - Street 1:1380 BLACKBERRY LN
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22802-0901
Practice Address - Country:US
Practice Address - Phone:540-534-4539
Practice Address - Fax:540-304-3295
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102202004207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine