Individual
KIMBALL JOHN SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1340 HWY 133, CARBONDALE, CO 81623-1933
(970) 963-3350
(970) 963-2958
Mailing address
1340 HWY 133, CARBONDALE, CO 81623-1933
(970) 963-3350
(970) 963-2958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31471
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01314715
—
CO
Enumeration date
11/27/2006
Last updated
03/07/2023
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