Individual
DR. BRAD A KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
430 LAKE ELMO DR, BILLINGS, MT 59105-3037
(406) 252-9927
(406) 252-6567
Mailing address
430 LAKE ELMO DR, BILLINGS, MT 59105-3066
(406) 252-9927
(406) 252-6567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MT665
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480607
—
MT
01
—
P00180029
RAILROAD MEDICARE
MT
Enumeration date
11/30/2006
Last updated
10/30/2018
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