Individual
RYAN SAMUEL KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
21825 E QUINCY AVE, AURORA, CO 80018-3155
(720) 723-3593
Mailing address
21825 E QUINCY AVE, AURORA, CO 80018-3155
(720) 723-3593
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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