Individual
ROSS M KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 S MAPLE ST, GARNETT, KS 66032-1333
(888) 777-9170
(785) 448-3091
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(887) 779-1708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-34011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200733670C
—
KS
Enumeration date
03/24/2008
Last updated
11/18/2022
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