Individual
DR. KIMBERLY YVONNE EAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102 RHODES ST, GAMALIEL, KY 42140-8942
(270) 457-3000
(270) 457-2315
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28800
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4044637
—
TN
05
—
64288004
—
KY
Enumeration date
06/22/2006
Last updated
04/02/2015
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