Individual
RAYMOND KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 HIGHWAY 252, ANDERSON, SC 29621-5054
(803) 898-8405
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12600
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126009
—
SC
Enumeration date
07/10/2006
Last updated
03/02/2009
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