Individual
CRAIG KIMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3721 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-6102
(573) 634-2628
(573) 635-1768
Mailing address
1221 S WESTERN ST, MEXICO, MO 65265-2356
(573) 253-6925
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043358
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213410245
—
MO
Enumeration date
04/26/2022
Last updated
04/26/2022
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