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Individual
DAVID KIMBALL
Active
Individual
DAVID KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7111227-1202
UT
207Q00000X
Family Medicine Physician
Primary
7111227-1204
UT
207Q00000X
Family Medicine Physician
MRO-1496
ID
Other
Enumeration date
01/07/2009
Last updated
05/10/2018
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