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Contact Information

DAVID KIMBALL
611 W PARK ST
URBANA, IL61801-2501
 Phone: 217-383-3270
 Fax: 217-383-4116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Ultrasound

2085U0001X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DAVID KIMBALL · (Male)

NPI # 1053798082
Status Active
Credentials
Entity Individual
Enumeration date 04/28/2015
Last updated 02/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A172655
  • IL License # 036165034
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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