Dr Kimble Foot Specialist, P.l.l.c. | |
522 N Central Ave Ste 831, Phoenix, AZ 85004-2185 | |
(661) 714-7945 | |
Not Available |
Full Name | Dr Kimble Foot Specialist, P.l.l.c. |
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Type | Facility |
Speciality | Podiatrist |
Location | 522 N Central Ave Ste 831, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619592896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Brandi Kimble |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1659788735 PECOS PAC ID: 0749541431 Enrollment ID: I20180220001995 |
Mailing Address | Practice Location Address |
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Dr Kimble Foot Specialist, P.l.l.c. 2437 W Peggy Dr, Queen Creek, AZ 85142-6684 Ph: (661) 714-7945 | Dr Kimble Foot Specialist, P.l.l.c. 522 N Central Ave Ste 831, Phoenix, AZ 85004-2185 Ph: (661) 714-7945 |
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