Kimball, Michael W

Kimball, Michael W is an individual health care provider with primary practice located at 64-5188 Kinohou St , Kamuela HI 96743-8409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Kimball, Michael W can be contacted via phone (808) 887-0600.

Contact Information

Primary practice address
64-5188 Kinohou St Kamuela HI 96743-8409
Phone: (808) 887-0600
Fax: (808) 887-6699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD8651 Hawaii
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD8651 Hawaii

Profile Details

NPI number 1265467096
LBN Legal business name Kimball, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 15th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265467096 NPPES
Hawaii MEDICAID 56531902

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