Leland Blane Kimball in Fort Leonard Wood - General Practice
Leland Blane Kimball - NPI 1417039967
Leland Blane Kimball is a General Practice in Fort Leonard Wood, Missouri. Leland Blane Kimball practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leland Blane Kimball is 1417039967. The last update date is 2010-06-29.
Leland Blane Kimball's current location address is 1724 Nebraska Ave, Fort Leonard Wood, Missouri. You can contact this provider via phone number 5735960388 and fax number 5735960410. The mailing address for Leland Blane Kimball is 1724 Nebraska Ave, Fort Leonard Wood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leland Blane Kimball |
|---|---|
| Address | 1724 Nebraska Ave, Fort Leonard Wood, Missouri |
| Phone Number | 5735960388 |
| Fax Number | 5735960410 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417039967 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2010-06-29 |
Provider Mailing Address Detail
| Address | 1724 Nebraska Ave |
|---|---|
| City | Fort Leonard Wood |
| State | Missouri (MO) |
| Post Code | 65473 |
| Phone Number | 5735960388 |
| Fax Number | 5735960410 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 55011 |
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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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What is the Leland Blane Kimball's unique identification number?
The Leland Blane Kimball has been assigned the NPI (National Provider Identifier) Number 1417039967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Leland Blane Kimball is located?
The Leland Blane Kimball is situated at the following address: 1724 Nebraska Ave, Fort Leonard Wood, MO, 65473.
What is the Leland Blane Kimball's specialty and taxonomy code?
The Leland Blane Kimball's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417039967 to Leland Blane Kimball?
The Centers for Medicare & Medicaid Services assigned the 1417039967 to Leland Blane Kimball on 2006-10-20.
When was the information regarding Leland Blane Kimball most recently updated?
The details pertaining to the Leland Blane Kimball, including its address, specialty, and other relevant information, were last refreshed on 2010-06-29.
NPI Number: 1316940851
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