Individual
JAMES KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
901426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13330
BCBS
NC
05
—
2004925000
—
WV
05
—
7119585
—
VA
01
—
7688778
AETNA
—
01
—
802688
PARTNERS
NC
05
—
8913330
—
NC
01
—
C5487
MEDCOST
NC
05
—
Q0142F
—
SC
Enumeration date
12/02/2005
Last updated
11/01/2012
Update your record
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