Individual
CHRISTIE KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2512 MAGAZINE ST APT C, NEW ORLEANS, LA 70130-5667
(412) 849-8016
Mailing address
3600 PRYTANIA ST, STE 35, NEW ORLEANS, LA 70115-3678
(504) 897-8412
(504) 249-5311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
311810
LA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/20/2017
Last updated
05/25/2021
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