Kimball, Robert Roy

Kimball, Robert Roy is an individual health care provider with primary practice located at 700 Sullivan Rd , Statesville NC 28677-3440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kimball, Robert Roy can be contacted via phone (704) 924-9111.

Contact Information

Primary practice address
700 Sullivan Rd Statesville NC 28677-3440
Phone: (704) 924-9111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9600971 North Carolina

Profile Details

NPI number 1518959063
LBN Legal business name Kimball, Robert Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Aug 15th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518959063 NPPES
North Carolina MEDICAID 8949004

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