Diane Marie Kimball NP

NPI 1083603575 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1083603575
Gender Female
Enumeration Date 10/18/2005
Last Updated 10/28/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
920 COUNTRY CLUB RD
SUITE 200A
EUGENE OR, 97401-6024, US
Phone (541) 342-2134
Fax (541) 686-6021
Business Location
PO BOX 1648
EUGENE OR, 97440-1648, US
Phone (541) 342-2134
Fax (541) 686-6021
Toxanomy
Taxonomy Code 363LF0000X
License State Oregon
License Number 200850098NP
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According to our database, Diane Marie Kimball NP NPI is 1083603575, taxonomy code is 363LF0000X and license number is 200850098NP, license state is located at Oregon. Diane Marie Kimball NP physically located at 920 Country Club Rd, Eugene OR, 97401-6024. NPI Number Diane Marie Kimball NP has the Individual type.

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1083603575 NPI number is provided on an as is basis without warranty of any kind. 1083603575 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Marie Kimball NP are for informational purposes only.