JACKSON ELLIS KIMBROUGH

BIRMINGHAM, AL
NPI1639064900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  PA.2760)
Enumeration Date2025-06-09
Last Update Date2026-04-17
Business Address
JACKSON ELLIS KIMBROUGH PA
619 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-4011
Mailing Address
JACKSON ELLIS KIMBROUGH PA
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number:
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