Individual
MARY KATHLEEN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 E PRIMROSE ST, SPRINGFIELD, MO 65807-5254
(417) 324-7777
Mailing address
2835 E EASTWOOD ST, SPRINGFIELD, MO 65804-1909
(417) 773-2831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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