Individual
DR. CHAD BRIGHAM KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 QUAIL SUMMIT DR, PROVO, UT 84604
(801) 556-2289
(801) 691-0969
Mailing address
1145 QUAIL SUMMIT DR, PROVO, UT 84604-5277
(801) 556-2289
(801) 691-0969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68514421205
UT
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
68514421205
UT
Other
Enumeration date
02/27/2008
Last updated
06/25/2019
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