Individual
MICHAEL KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5252 W UNIVERSITY DR, MCKINNEY, TX 75071-7822
(469) 764-5000
Mailing address
PO BOX 863367, PLANO, TX 75086-3367
(214) 212-2787
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M2674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025PJ
BCBS INDIVIDUAL - PRESBYT
TX
01
—
181218201
MEDICAID - PRESBYTERIAN D
TX
01
—
8G7408
MEDICARE GROUP - PRESBYTE
TX
01
—
8U5865
BCBS GROUP - PRESBYTERIAN
TX
Enumeration date
06/06/2006
Last updated
11/19/2020
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