Individual
DR. DALE A KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
23943
ND
2085R0202X
Diagnostic Radiology Physician
Primary
350269
LA
2085R0202X
Diagnostic Radiology Physician
35096509
OH
2085R0202X
Diagnostic Radiology Physician
81543
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130828
—
OH
01
—
350269
LICENSE
LA
Enumeration date
06/26/2009
Last updated
06/09/2026
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