Chad Brigham Kimball in Provo - Addiction Medicine
Chad Brigham Kimball - NPI 1629247358
Chad Brigham Kimball is a Addiction Medicine in Provo, Utah. Chad Brigham Kimball practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Chad Brigham Kimball is 1629247358. The last update date is 2019-06-25.
Chad Brigham Kimball's current location address is 1145 Quail Summit Dr, Provo, Utah. You can contact this provider via phone number 8015562289 and fax number 8016910969. The mailing address for Chad Brigham Kimball is 1145 Quail Summit Dr, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Chad Brigham Kimball |
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Address | 1145 Quail Summit Dr, Provo, Utah |
Phone Number | 8015562289 |
Fax Number | 8016910969 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1629247358 |
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Provider Enumeration Date | 2008-02-27 |
Last Updated Date | 2019-06-25 |
Provider Mailing Address Detail
Address | 1145 Quail Summit Dr |
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City | Provo |
State | Utah (UT) |
Post Code | 846045277 |
Phone Number | 8015562289 |
Fax Number | 8016910969 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Ra0401X |
Licence No | 68514421205 |
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the unique identification code assigned to Chad Brigham Kimball by the Centers for Medicare & Medicaid Services?
The Chad Brigham Kimball has been issued the NPI (National Provider Identifier) 1629247358. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Chad Brigham Kimball is located?
The Chad Brigham Kimball is situated at the following address: 1145 Quail Summit Dr, Provo, UT, 846045277.
What is Chad Brigham Kimball's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Chad Brigham Kimball is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Ra0401X.
On what date did the Chad Brigham Kimball receive the assignment of its 1629247358 from the Centers for Medicare & Medicaid Services?
The Chad Brigham Kimball was issued its 1629247358 by the Centers for Medicare & Medicaid Services on 2008-02-27.
When was the information regarding Chad Brigham Kimball most recently updated?
The details pertaining to the Chad Brigham Kimball, including its address, specialty, and other relevant information, were last refreshed on 2019-06-25.
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