Kimball, Ronald E

Kimball, Ronald E is an individual health care provider with primary practice located at 509 W University Ave , Urbana IL 61801-1645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Kimball, Ronald E can be contacted via phone (217) 383-6636.

Contact Information

Primary practice address
509 W University Ave Urbana IL 61801-1645
Phone: (217) 383-6636
Fax: (217) 383-3466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 45330 Colorado
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 036128873 Illinois

Profile Details

NPI number 1003806514
LBN Legal business name Kimball, Ronald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated May 26th, 2015 - about 11 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 1003806514 NPPES
Colorado Other 018061 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 52572731 KAISER COMMERCIAL NUMBER

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