Kimball, David Lawrence
Kimball, David Lawrence is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kimball, David Lawrence can be contacted via phone (770) 539-9391.Contact Information
Primary practice address
725 Jesse Jewell Pkwy Se
Gainesville GA 30501-3834
Phone: (770) 539-9391
Fax: (770) 533-4701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 047228 | Georgia |
Profile Details
| NPI number | 1114976461 |
|---|---|
| LBN Legal business name | Kimball, David Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Mar 6th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114976461 | NPPES |
| Georgia | Other | 300098921 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 00834281A | RAILROAD MEDICARE |
| Georgia | Other | 581177261A | RAILROAD MEDICARE |
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