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Individual

DR. CHRISTINA EVE JENSEN KIMBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14 GAELSONG LN, WYOMISSING, PA 19610-3120
(610) 463-8775
Mailing address
14 GAELSONG LN, WYOMISSING, PA 19610-3120
(610) 463-8775

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD044705E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD-044705E
MEDICAL LICENSE
PA
Enumeration date
07/01/2005
Last updated
01/09/2023
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