Individual
DR. ANNETTA J KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 W 57TH ST, #301, NEW YORK, NY 10019-3158
(212) 371-8900
(212) 581-4016
Mailing address
315 W 57TH ST, #301, NEW YORK, NY 10019-3158
(212) 371-8900
(212) 581-4016
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
104148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00180983
—
NY
Enumeration date
07/06/2006
Last updated
06/20/2008
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