Organization
RONALD W KIMBALL M D P C
Active
Organization
RONALD W KIMBALL M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD W KIMBALL M.D. (PRESIDENT)
(215) 365-1113
Entity
Organization
Contact information
Practice address
7701 LINDBERGH BLVD, SUITE 713, PHILADELPHIA, PA 19153-2132
(215) 365-1113
(215) 365-1114
Mailing address
1 WINGATE CT, FLOURTOWN, PA 19031-1117
(215) 365-1113
(215) 365-1114
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD015251E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00065287900001
—
PA
Enumeration date
04/28/2008
Last updated
10/27/2010
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