Individual
DR. KAYLA KIMBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5665 N JUNCTION WAY, DAVIS JUNCTION, IL 61020-9433
(779) 696-9200
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-141879
IL
207Q00000X
Family Medicine Physician
5101020626
MI
Other
Enumeration date
06/30/2013
Last updated
03/01/2021
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