Individual
DR. EARL S KIMBELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
80 B VETERANS BLVD, I-40, EXIT 102, ACOMA, NM 87034
(505) 552-5300
(505) 552-5828
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5300
(505) 552-5828
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
3489
AZ
207Q00000X
Family Medicine Physician
Primary
2010023062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
07/04/2006
Last updated
06/12/2015
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