Individual
JOSHUA KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24705 SPRING BRIAR LN SW, WESTERNPORT, MD 21562-2239
(304) 636-9396
Mailing address
24705 SPRING BRIAR LN SW, WESTERNPORT, MD 21562-2239
(304) 636-9396
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
06/29/2021
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