Daniel Kimball

NPI 1194021501 - Counselor - 101Y00000X

NPI Details
NPI 1194021501
Gender Male
Enumeration Date 02/02/2011
Last Updated 02/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
525 W. 200 N.
MONA UT, 84648, US
Phone (435) 623-2825
Fax (435) 623-2827
Business Location
619 N 500 W
PROVO UT, 84601-1547, US
Phone (801) 375-4240
Fax (801) 375-4241
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Daniel Kimball NPI is 1194021501, taxonomy code is 101Y00000X Daniel Kimball physically located at 525 W. 200 N., Mona UT, 84648. NPI Number Daniel Kimball has the Individual type.

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1194021501 NPI number is provided on an as is basis without warranty of any kind. 1194021501 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Kimball are for informational purposes only.