Individual
JESSE TAYLOR KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 N 27TH ST STE 1, SPEARFISH, SD 57783-3213
(605) 644-9074
Mailing address
130 VALLEY DR, SPEARFISH, SD 57783-9540
(605) 680-4478
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1334
SD
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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