Individual
EDWARD T KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 596-4502
(719) 597-2668
Mailing address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 596-4502
(719) 597-2668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18173
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181734
—
CO
Enumeration date
06/01/2005
Last updated
07/08/2007
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