Individual
CHRISTOPHER KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
316 S WASHINGTON AVE, EMMETT, ID 83617-2952
(208) 369-4883
(208) 369-4877
Mailing address
316 S WASHINGTON AVE, EMMETT, ID 83617-2952
(208) 369-4883
(208) 369-4877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ATI4295
OR
152W00000X
Optometrist
Primary
ODP100398
ID
Other
Enumeration date
09/01/2016
Last updated
04/14/2021
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