Organization
W BRADLEY KIMBROUGH III MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRADLEY KIMBROUGH III MD (OWNER)
(337) 457-9944
Entity
Organization
Contact information
Practice address
3521 HIGHWAY 190 STE P, EUNICE, LA 70535-5135
(337) 457-9944
Mailing address
3521 HIGHWAY 190 STE P, EUNICE, LA 70535-5135
(337) 457-9944
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
202378
LA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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