Kimball, Debra Ann
Kimball, Debra Ann is an individual health care provider with primary practice located at 2380 Nw 152Nd St , Clive IA 50325-4514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kimball, Debra Ann can be contacted via phone (515) 237-3974.Contact Information
Primary practice address
2380 Nw 152Nd St
Clive IA 50325-4514
Phone: (515) 237-3974
Fax: (515) 883-2692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 23143 | Iowa |
Profile Details
| NPI number | 1558363945 |
|---|---|
| LBN Legal business name | Kimball, Debra Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Oct 28th, 2009 - about 15 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 | 1558363945 | NPPES |
| Iowa | MEDICAID | 0246728 |
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