Individual
STUART IAIN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
222 ANDREW CHAPEL RD, STAFFORD, VA 22554-5522
(540) 498-0359
Mailing address
180 SUMMER BREEZE LN, FREDERICKSBURG, VA 22406-5037
(540) 498-0359
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B201604112
VA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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