Individual
BRADLY ALEXANDER KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W HWY 6 STE 101, WACO, TX 76710-7545
(254) 755-4582
(254) 755-4585
Mailing address
611 W HWY 6 STE 101, WACO, TX 76710-7545
(254) 755-4582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29168
MN
207R00000X
Internal Medicine Physician
65873
MN
207RR0500X
Rheumatology Physician
65873
MN
207RR0500X
Rheumatology Physician
Primary
U9570
TX
Other
Enumeration date
04/05/2018
Last updated
07/31/2024
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