National Provider Identifier Database

DERRICK E KIMBLE INC
Professional


Contact Information

DERRICK E KIMBLE INC
2903 GALAHAD WAY
AUGUSTA, GA30909-9147
Phone: 706-495-2351
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for DERRICK E KIMBLE INC

NPI Number 1902174345
Legal business name
LBN
DERRICK E KIMBLE INC
Authorized official DERRICK KIMBLE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/13/2011
Last updated 12/13/2011 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: LPC005188
  • GA License #: RN107823

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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