Organization
JOHN KIMBALL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A KIMBALL CRNA (PRESIDENT)
(951) 202-0973
Entity
Organization
Contact information
Practice address
104 7TH ST, BAY CITY, TX 77414-4853
(979) 245-6383
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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