Individual
DR. STANLEY JARMAN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., MPH
Contact information
Practice address
7050 AIR DEPOT BLVD BLDG 3334, TINKER AFB, OK 73145-8716
(405) 582-6804
Mailing address
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145-8716
(405) 582-6804
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
02003546A
IN
2083X0100X
Occupational Medicine Physician
02003546A
IN
2083X0100X
Occupational Medicine Physician
OL60286329
WA
Other
Enumeration date
09/16/2008
Last updated
10/08/2024
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