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Individual

JOHN KIMBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
Mailing address
819 SILVER LINDEN LN, WAKE FOREST, NC 27587-2958

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/31/2021
Last updated
09/13/2021
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