Dr Paul Clark Kimball, PHD, LMT is a
Massage Therapist based in Olney, Maryland. Dr Paul Clark Kimball is licensed to practice in Maryland (license number M05490) and his current practice location is
3631 Martins Dairy Cir, Olney, Maryland. He can be reached at his office (for appointments etc.) via phone at
(301) 455-8688.
NPI number for Dr Paul Clark Kimball is 1508467606 and his current mailing address is 3631 Martins Dairy Cir, Olney, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508467606.
Healthcare Provider's Profile
Full Name | Dr Paul Clark Kimball |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 3631 Martins Dairy Cir, Olney, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508467606
- Provider Enumeration Date: 11/04/2020
- Last Update Date: 11/04/2020
Medical Identifiers
Medical identifiers for Dr Paul Clark Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508467606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | M05490 (Maryland) | 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. Dr Paul Clark Kimball 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 |
Dr Paul Clark Kimball, PHD, LMT 3631 Martins Dairy Cir, Olney, MD 20832-2451 Ph: (301) 455-8688 | Dr Paul Clark Kimball, PHD, LMT 3631 Martins Dairy Cir, Olney, MD 20832-2451 Ph: (301) 455-8688 |
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