Individual
DR. EDWARD JOSEPH KIMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11915 GEORGIA AVE, WHEATON, MD 20902-2065
(301) 942-4505
(301) 942-4509
Mailing address
11915 GEORGIA AVE, WHEATON, MD 20902-2065
(301) 942-4505
(301) 942-4509
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
D0070302
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101251540
VA LICENSE
VA
01
—
D0070302
MD LICENSE
MD
Enumeration date
06/17/2008
Last updated
03/07/2023
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