Individual
JOHN F KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-5947
(601) 607-1416
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4353
MS
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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