Provider Demographics
NPI:1851282982
Name:KIMANI, JULIUS K (PMHNP-BC)
Entity type:Individual
Prefix:PROF
First Name:JULIUS
Middle Name:K
Last Name:KIMANI
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12707 SUMMERHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3287
Mailing Address - Country:US
Mailing Address - Phone:804-566-8269
Mailing Address - Fax:
Practice Address - Street 1:12707 SUMMERHOUSE LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-3287
Practice Address - Country:US
Practice Address - Phone:804-566-8269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024193753363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health