Individual
DR. MICHAEL W KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64-5188 KINOHOU ST, KAMUELA, HI 96743-8409
(808) 887-0600
(808) 887-6699
Mailing address
64-5188 KINOHOU ST, KAMUELA, HI 96743-8409
(808) 887-0600
(808) 887-6699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD8651
HI
207RG0100X
Gastroenterology Physician
Primary
MD8651
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56531902
—
HI
Enumeration date
07/11/2006
Last updated
10/15/2007
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