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Individual

DR. JERRY LYNN KIMBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
262 SOUTH HIGH SCHOOL AVE., COLUMBIA, MS 39429
(601) 736-2331
(601) 736-2343
Mailing address
262 SOUTH HIGH SCHOOL AVE., COLUMBIA, MS 39429
(601) 736-2331
(601) 736-2343

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
402
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00121066
MS
Enumeration date
10/04/2006
Last updated
06/03/2008
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