Individual
TIMOTHY KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7641
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A0881
MD
103TC0700X
Clinical Psychologist
Primary
0810009160
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/19/2022
Last updated
10/31/2025
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