Individual
DR. MARK G KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
518 NORTH AVE, ROCK HILL, SC 29732-3384
(803) 327-6155
(803) 327-5062
Mailing address
518 NORTH AVE, ROCK HILL, SC 29732-3384
(803) 327-6155
(803) 327-5062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7392163
AETNA
SC
05
—
CH0933
—
SC
05
—
GCH122
—
SC
Enumeration date
11/10/2006
Last updated
08/06/2010
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