Kimball, Ronald Wayne

Kimball, Ronald Wayne is an individual health care provider with primary practice located at 7701 Lindbergh Blvd Ste 713, Philadelphia PA 19153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kimball, Ronald Wayne can be contacted via phone (215) 365-1113.

Contact Information

Primary practice address
7701 Lindbergh Blvd Ste 713 Philadelphia PA 19153
Phone: (215) 365-1113
Fax: (215) 365-1114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD015251E Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA33892 New Jersey

Profile Details

NPI number 1407825482
LBN Legal business name Kimball, Ronald Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407825482 NPPES
Pennsylvania MEDICAID 0006528790001

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