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Individual

JASON P KIMBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-6100
(785) 505-2874
Mailing address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-6100
(785) 505-2874

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-28700
KS
208M00000X
Hospitalist Physician
41025
OK

Other

Enumeration date
06/28/2006
Last updated
05/09/2023
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