Individual
ALEXA KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 W BROAD ST FL 3, BETHLEHEM, PA 18018-5526
(484) 626-9250
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024982
NY
363AM0700X
Medical Physician Assistant
Primary
MA065331
PA
Other
Enumeration date
12/03/2020
Last updated
04/05/2024
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