Kimble, Michael Keith

Kimble, Michael Keith is an individual health care provider with primary practice located at 1602 Lakewood Drive , Elizabethtown KY 42701-5458. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kimble, Michael Keith can be contacted via phone (270) 765-6552.

Contact Information

Primary practice address
1602 Lakewood Drive Elizabethtown KY 42701-5458
Phone: (270) 765-6552
Fax: (270) 769-3797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4787 Kentucky

Profile Details

NPI number 1710094297
LBN Legal business name Kimble, Michael Keith
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1710094297 NPPES
Other 799542 UNITED CONCORDIA COMP INC

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