Individual
DR. DANIEL B KIMBALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 ORCHARD RD, READING, PA 19611-1437
(610) 376-0187
Mailing address
1303 ORCHARD RD, READING, PA 19611-1437
(610) 376-0187
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD044565E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KI569686
MEDICAL PROVIDER #
PA
Enumeration date
10/24/2006
Last updated
07/08/2007
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