Individual
DR. DENISE M KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.147946
OH
207R00000X
Internal Medicine Physician
LL82599
SC
208000000X
Pediatrics Physician
35.147946
OH
208000000X
Pediatrics Physician
LL82599
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.147946
OHIO MEDICAL LICENSE
OH
Enumeration date
06/05/2019
Last updated
05/24/2024
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