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Individual

DR. ROBERT O KIMBALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
826 WASHINGTON ST, WATERTOWN, NY 13601-4063
(315) 782-1505
(315) 782-2316
Mailing address
826 WASHINGTON ST, WATERTOWN, NY 13601-4063
(315) 782-1505
(315) 782-2316

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
168706
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01345064
NY
Enumeration date
09/27/2006
Last updated
04/25/2017
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