Individual
DR. JASON T KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 BIG 5 RD, PAHRUMP, NV 89048-0839
(775) 513-9135
Mailing address
301 BIG 5 RD, PAHRUMP, NV 89048-0839
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q7569
TX
208D00000X
General Practice Physician
A-1283-04
NM
Other
Enumeration date
12/21/2010
Last updated
02/27/2020
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