Individual
AMY S. KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-7157
(410) 328-6896
Mailing address
PO BOX 62602, BALTIMORE, MD 21264-2602
(410) 328-7157
(410) 328-6896
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D68925
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417539500
—
MD
Enumeration date
02/12/2007
Last updated
03/07/2011
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