Individual
WILLIAM K KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6820
(303) 306-7753
Mailing address
P.O. BOX 173891, DENVER, CO 80217-9294
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26128
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261288
—
CO
Enumeration date
01/03/2006
Last updated
06/21/2013
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