Individual
MR. JOSEPH L KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6905 E STATE ST, ROCKFORD, IL 61108
(815) 397-4142
(815) 397-4144
Mailing address
PO BOX 6107, ROCKFORD, IL 61125
(815) 397-4142
(875) 397-4144
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004084
IL
247200000X
Other Technician
—
—
Other
Enumeration date
08/09/2006
Last updated
09/19/2012
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