Individual
BOBBY NATHANIEL KIMBLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 798-6793
Mailing address
1919 W COURT ST APT 408, LOS ANGELES, CA 90026-7513
(702) 504-7165
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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