Individual
KYLE CLARK KIMBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
1380 E MEDICAL CENTER DR STE 4500, ST GEORGE, UT 84790-2123
(435) 251-2501
Mailing address
1220 SUNRISE PL, BOUNTIFUL, UT 84010-3212
(801) 710-4222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12494828-1205
UT
208600000X
Surgery Physician
BP100554443
TX
Other
Enumeration date
05/19/2015
Last updated
03/03/2023
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