Individual
YUVAL ZEV KIMBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2216 E NC HIGHWAY 54, DURHAM, NC 27713-2208
(919) 235-1040
Mailing address
2216 E NC HIGHWAY 54, DURHAM, NC 27713-2208
(919) 235-1040
(919) 341-3045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10946
NC
363AM0700X
Medical Physician Assistant
Primary
0010-10946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487274528
—
NC
Enumeration date
04/18/2020
Last updated
08/05/2024
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