Individual
KYLE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11542 SALT CREEK AVE, LAS VEGAS, NV 89138-9304
(714) 496-0556
Mailing address
11542 SALT CREEK AVE, LAS VEGAS, NV 89138-9304
(714) 496-0556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
821408
NV
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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