Individual
DR. TODD EVAN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2178 S 900 E STE 4, SALT LAKE CITY, UT 84106-2388
(801) 484-2020
(801) 466-2865
Mailing address
2178 S 900 E STE 4, SALT LAKE CITY, UT 84106-2388
(801) 484-2020
(801) 466-2865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
921098869934
UT
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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