Organization
STEPHEN W KIMBALL DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA K KIMBALL (OFFICE MANAGER SECRETARY)
(989) 345-0070
Entity
Organization
Contact information
Practice address
203 E HOUGHTON AVE, WEST BRANCH, MI 48661-1125
(989) 345-0070
(989) 345-6022
Mailing address
203 E HOUGHTON AVE, WEST BRANCH, MI 48661-1125
(989) 345-0070
(989) 345-6022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F510060
BCBSM
—
Enumeration date
07/28/2006
Last updated
07/09/2010
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