Individual
KIMBALL BRADLEY PATE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(770) 874-5439
(770) 874-5483
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5439
(770) 874-5483
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-3019
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145049003
—
AR
Enumeration date
07/11/2006
Last updated
01/24/2012
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