KIRT M KIMBALL

PROVO, UT
NPI1548363419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: UT  313480-1205)
Enumeration Date2006-09-06
Last Update Date2018-11-09
Business Address
KIRT M KIMBALL MD
1055 N 500 W SUITE 121
PROVO, UT 84604-3305
Phone number: 801-373-7350
Mailing Address
KIRT M KIMBALL MD
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225