Kimbrough, W B

Kimbrough, W B is an individual health care provider with primary practice located at 1014 Saint Clair Blvd Suite 3015, Gonzales LA 70737-5023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kimbrough, W B can be contacted via phone (225) 743-2455.

Contact Information

Primary practice address
1014 Saint Clair Blvd Suite 3015 Gonzales LA 70737-5023
Phone: (225) 743-2455
Fax: (225) 644-5213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD202378 Louisiana

Profile Details

NPI number 1871772202
LBN Legal business name Kimbrough, W B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Mar 31st, 2021 - about 4 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 1871772202 NPPES
Louisiana MEDICAID 1508543

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