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Organization

KIMBALL EMERGENCY MEDICAL ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN KONDAS (VICE PRESIDENT)
(954) 838-2371
Entity
Organization

Contact information

Practice address
600 RIVER AVE, LAKEWOOD, NJ 08701-5237
(469) 401-2386
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(954) 838-2371

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
05/01/2012
Last updated
08/29/2019
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