| NPI | 1265495261 |
|---|---|
| Former Name | JOY R. KIMBALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KS 04-29125) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-29125) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2025-09-11 |