# KIMBALL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639533748
- **Authorized official:** STEPHEN KIMBALL (PRESIDENT)
- **Authorized official phone:** (801) 518-9923

## Contact information

- **Practice address:** 520 GOMEZ RD, EL PASO, TX 79932-4202
- **Practice address phone:** (801) 518-9923
- **Mailing address:** 520 GOMEZ RD, EL PASO, TX 79932-4202
- **Mailing address phone:** (801) 518-9923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 04/06/2016
