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Individual

KIRT M KIMBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
313480-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09-00093
UTAH HEALTH
UT
01
107007558103
IHC
UT
01
136994
DMBA
UT
01
20045125
PALMITTO
UT
01
68077
PEHP
UT
01
QM0000556638
ALTIUS
UT
Enumeration date
09/06/2006
Last updated
11/09/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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