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Individual

DR. JEFFREY S KIMBALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
401 E CEDAR ST, STANDISH, MI 48658-9620
(989) 846-4931
(989) 846-0350
Mailing address
401 E CEDAR ST, PO BOX 888, STANDISH, MI 48658-9620
(989) 846-4931
(989) 846-0350

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005369
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1785412
MI
01
950Z650010
BCBS
MI
Enumeration date
09/22/2006
Last updated
06/06/2008
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