Individual
DR. MATTHEW MICHAEL KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PLAZA DR, #205, ROSEVILLE, CA 95661-3043
(916) 773-8711
(916) 773-8712
Mailing address
10470 OLD PLACERVILLE RD, #100, SACRAMENTO, CA 95827-2539
(866) 681-0736
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME103822
FL
207T00000X
Neurological Surgery Physician
TRN10275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007180500
—
FL
01
—
ME103822
FLORIDA LICENSE
FL
Enumeration date
10/28/2006
Last updated
03/07/2023
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