Individual
MR. MARK A. KIMBLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11301 W. RENO, SUITE G., YUKON, OK 73099
(405) 265-3920
(405) 265-3922
Mailing address
11301 W. RENO, SUITE G., YUKON, OK 73099
(405) 265-3920
(405) 265-3922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4154
OK
111NR0400X
Rehabilitation Chiropractor
4154
OK
111NS0005X
Sports Physician Chiropractor
4154
OK
111NX0100X
Occupational Health Chiropractor
4154
OK
Other
Enumeration date
05/16/2014
Last updated
04/07/2017
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