Individual
DR. GREGORY ALLEN KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
227 HOSPITAL DR, SUITE 1, EVERETT, PA 15537-7019
(814) 623-9095
Mailing address
227 HOSPITAL DR, SUITE 1, EVERETT, PA 15537-7019
(814) 623-9095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS006868L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001167574
—
PA
Enumeration date
02/14/2006
Last updated
02/25/2020
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