# THOMAS DUDLEY KIMBLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649359993
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101240761 | VA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 01/26/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | -010 | TRICARE/CHAMPUS | VA |
| 01 | — | 06151 | BC/BS | NC |
| 01 | — | 10015910 | SENTARA | VA |
| 05 | — | 1649359993 | — | VA |
| 01 | — | 2165745 | UHC/MAMSI (OB/GYN) | VA |
| 01 | — | 293664 | ANTHEM | VA |
| 01 | — | 3166745 | UHC/MAMSI (GYN) | VA |
| 05 | — | 5906151 | — | NC |
| 01 | — | PAR | CORVEL/CORCARE | VA |