Individual
DR. KENNETH M. KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18555 N 79TH AVE, STE #B 106, GLENDALE, AZ 85308-8370
(623) 412-7700
(623) 412-1588
Mailing address
18555 N 79TH AVE, STE #B 106, GLENDALE, AZ 85308-8370
(623) 412-7700
(623) 412-1588
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5101
AZ
Other
Enumeration date
05/17/2007
Last updated
05/15/2012
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