Individual
MR. KELLY KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CAGS
Contact information
Practice address
1331 E REDFIELD RD, TEMPE, AZ 85283-4133
(480) 783-3385
Mailing address
3733 E WATERMAN ST, GILBERT, AZ 85297-7882
(480) 768-7624
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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