Individual
DEBRA ANN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2380 NW 152ND ST, CLIVE, IA 50325-4514
(515) 237-3974
(515) 883-2692
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23143
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246728
—
IA
Enumeration date
08/15/2005
Last updated
10/28/2009
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