Individual
DR. MARC E KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 N JEFFERSON AVE, SUITE 300, MOUNT PLEASANT, TX 75455-2371
(903) 572-9823
(903) 572-4812
Mailing address
2001 N JEFFERSON AVE, SUITE 300, MOUNT PLEASANT, TX 75455-2371
(903) 572-9823
(903) 572-4812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J1709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130955102
—
TX
Enumeration date
10/04/2005
Last updated
01/16/2013
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