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Contact Information

CARA KIMBLE
1200 WEST STATE STREET
ROCKFORD, IL61102
 Phone: 815-490-1600
 Fax: 815-490-1881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CARA KIMBLE · (Female)

NPI # 1992346605
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2019
Last updated 02/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 180.008126
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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