Individual
MCKAYLA MARIE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 LOLA AVE, ALTAVISTA, VA 24517-1352
(434) 369-6651
Mailing address
1872 STATE ROUTE 30, NORTH BLENHEIM, NY 12131-1604
(518) 545-7455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119011228
VA
225X00000X
Occupational Therapist
Primary
030599
NY
225X00000X
Occupational Therapist
OC021220
PA
Other
Enumeration date
11/26/2025
Last updated
12/05/2025
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