Shawn Kimball in Longmont - General Practice

Shawn Kimball - NPI 1609033075

Shawn Kimball is a General Practice in Longmont, Colorado. Shawn Kimball practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shawn Kimball is 1609033075. The last update date is 2010-05-30.

Shawn Kimball's current location address is 641 Ken Pratt Blvd, Longmont, Colorado. You can contact this provider via phone number 3036512700. The mailing address for Shawn Kimball is 641 Ken Pratt Blvd, Longmont, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Shawn Kimball
Address 641 Ken Pratt Blvd, Longmont, Colorado
Phone Number 3036512700
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1609033075
Provider Enumeration Date 2008-05-21
Last Updated Date 2010-05-30

Provider Mailing Address Detail

Address 641 Ken Pratt Blvd
City Longmont
State Colorado (CO)
Post Code 805016419
Phone Number 3036512700
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00011186
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Shawn Kimball

What is the unique identifier code issued to Shawn Kimball by the Centers for Medicare & Medicaid Services (CMS)?

The Shawn Kimball has been assigned the NPI (National Provider Identifier) 1609033075. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Shawn Kimball is geographically located?

The Shawn Kimball is physically situated at the following location: 641 Ken Pratt Blvd, Longmont, CO, 805016419.

What is the Shawn Kimball's specialty and taxonomy code?

The Shawn Kimball's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1609033075 to Shawn Kimball?

The Shawn Kimball received its 1609033075 assignment from the Centers for Medicare & Medicaid Services on 2008-05-21.

As of what date was the information regarding Shawn Kimball, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shawn Kimball, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-05-30.

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