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Individual
KIRT M KIMBALL
Active
Individual
KIRT M KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
313480-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00093
UTAH HEALTH
UT
01
—
107007558103
IHC
UT
01
—
136994
DMBA
UT
01
—
20045125
PALMITTO
UT
01
—
68077
PEHP
UT
01
—
QM0000556638
ALTIUS
UT
Enumeration date
09/06/2006
Last updated
11/09/2018
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