Individual
PAGE O KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
1613 N. HARRISON PKWY, SUNRISE, FL 33323
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NP0216
GU
367500000X
Certified Registered Nurse Anesthetist
R219677
MD
Other
Enumeration date
05/11/2016
Last updated
03/03/2026
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