Kenneth M. Kimble in Glendale - Periodontics
Kenneth M. Kimble - NPI 1124235056
Kenneth M. Kimble is a Periodontics in Glendale, Arizona. Kenneth M. Kimble practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kenneth M. Kimble is 1124235056. The last update date is 2012-05-15.
Kenneth M. Kimble's current location address is 18555 N 79th Ave, Glendale, Arizona. You can contact this provider via phone number 6234127700 and fax number 6234121588. The mailing address for Kenneth M. Kimble is 18555 N 79th Ave, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth M. Kimble |
|---|---|
| Address | 18555 N 79th Ave, Glendale, Arizona |
| Phone Number | 6234127700 |
| Fax Number | 6234121588 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124235056 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2012-05-15 |
Provider Mailing Address Detail
| Address | 18555 N 79th Ave |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853088370 |
| Phone Number | 6234127700 |
| Fax Number | 6234121588 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5101 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Kenneth M. Kimble's unique identification number?
The Kenneth M. Kimble has been assigned the NPI (National Provider Identifier) Number 1124235056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kenneth M. Kimble is geographically located?
The Kenneth M. Kimble is physically situated at the following location: 18555 N 79Th Ave, Glendale, AZ, 853088370.
What is Kenneth M. Kimble's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth M. Kimble is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
When was the Kenneth M. Kimble's 1124235056 issued?
The Kenneth M. Kimble's 1124235056 was issued on 2007-05-17.
When was the information pertaining to Kenneth M. Kimble most recently updated or revised?
The details related to Kenneth M. Kimble, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-15.