Individual
MR. DAVID ALAN KIMBALL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6000
Mailing address
9 STRAWBERRY BANK RD APT 22, NASHUA, NH 03062-2733
(603) 891-0592
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
156797
MA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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