Dr. Kenneth M. Kimble
Periodontist
18555 N 79th Ave Ste #b 106
Glendale
, Arizona 85308-8370
Dr. Kenneth M. Kimble
Periodontist
18555 N 79th Ave Ste #b 106
Glendale
, Arizona 85308-8370
(623) 412-1588
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Kenneth M. Kimble
- 18555 N 79th Ave Ste #b 106
- Glendale, AZ
- Zip : 85308-8370
- Fax : (623) 412-1588
- Phone : (623) 412-7700
Second Address
- Dr. Kenneth M. Kimble
- 18555 N 79th Ave Ste #b 106
- Glendale, AZ
- Zip : 85308-8370
- Fax : (623) 412-1588
- Phone : (623) 412-7700
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FAQs
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Is Dr. Kenneth M. Kimble a sole practitioner?
Is Dr. Kenneth M. Kimble accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 5101 | AZ |
National Provider Identifier
| NPI | 1124235056 |
|---|---|
| Provider Name | Dr. Kenneth M. Kimble |
| First Address | Glendale, AZ 85308-8370 |
| Second Address | Glendale, AZ 85308-8370 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 15/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.