John Wesley Kimbrough Jr, is a
Rehabilitation Practitioner based in San Diego, California. John Wesley Kimbrough Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
5650 Mount Ackerly Dr, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(858) 496-8205.
NPI number for John Wesley Kimbrough Jr is 1194283473 and his current mailing address is 2351 Cardinal Ln, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194283473.
Healthcare Provider's Profile
| Full Name | John Wesley Kimbrough Jr |
|---|
| Gender | Male |
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| Speciality | Rehabilitation Practitioner |
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| Location | 5650 Mount Ackerly Dr, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194283473
- Provider Enumeration Date: 03/06/2019
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for John Wesley Kimbrough Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194283473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Wesley Kimbrough Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Wesley Kimbrough Jr,
2351 Cardinal Ln,
San Diego, CA 92123-3743
Ph: (858) 573-2227 | John Wesley Kimbrough Jr,
5650 Mount Ackerly Dr,
San Diego, CA 92111-4016
Ph: (858) 496-8205 |
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