Individual
RYAN SAMUEL KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0005901
CO
Other
Enumeration date
10/03/2022
Last updated
05/05/2026
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