Individual
MR. MICHAEL A KIMBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1657 EASTWOOD DR, SLIDELL, LA 70458-3111
(228) 342-3874
Mailing address
1657 EASTWOOD DR, SLIDELL, LA 70458-3111
(228) 342-3874
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
11/21/2014
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