Specialist in COLORADO SPRINGS, CO
Last Updated on : Jul 08,2007
EDWARD T KIMBLE is a Specialist provider in COLORADO SPRINGS, United States. His medical specialization is Specialist .
1861494155 is NPI number of EDWARD T KIMBLE.
EDWARD T KIMBLE's primary taxonomy code based on NPI Lookup is 174400000X with license number 18173. This taxonomy code refers to Specialist.
EDWARD T KIMBLE has more than 17 years of experience.
EDWARD T KIMBLE current practice location address is 6190 BARNES RD, COLORADO SPRINGS, CO. EDWARD T KIMBLE can be reached out via phone at 719-596-4502 and via fax at 719-597-2668 .
You can also correspond with EDWARD T KIMBLE through mail at mailing address 6190 BARNES RD, COLORADO SPRINGS, CO, United States. Mailing address contact number is 719-596-4502.
The enumeration date of EDWARD T KIMBLE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.Basic NPI information of EDWARD T KIMBLE (NPI 1861494155) is provided below.
Name | EDWARD T KIMBLE |
---|---|
National Provider Id (NPI) | 1861494155 |
Entity Type | Individual |
Gender | M |
Credential | M.D. |
Practice Address | 6190 BARNES RD,
COLORADO SPRINGS, CO, United States |
Practice Telephone | 719-596-4502 |
Practice Fax Number | 719-597-2668 |
Mailing Address | 6190 BARNES RD ,
COLORADO SPRINGS, CO, United States |
Mailing Telephone | 719-596-4502 |
Mailing Fax Number | 719-597-2668 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 08-Jul-2007 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 174400000X | Specialist | 18173 | CO |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
01181734 | MEDICAID (05) | CO |
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---|---|---|---|---|
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24-Oct-2023 |
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04-Feb-2011 |
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01-Aug-2017 |
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12-Mar-2019 |
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29-Nov-2018 |
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02-Dec-2016 |
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04-Jun-2006 |
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14-May-2015 |
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08-Jan-2021 |
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04-Jun-2007 |
1831611086 | 3 G MEDICAL CONSULTANTS, LLC | Family Medicine | 417 SECURITY BLVD,
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10-Jul-2017 |
1790122067 | 365 INVESTMENTS, INC | Home Health | 1670 PAONIA ST,
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28-May-2013 |
1609390632 | 38TH MODERN DENTAL PRACTICE, LLC | Dentist | 6020 N CAREFREE CIR,
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01-Aug-2017 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1861494155 is the NPI number of EDWARD T KIMBLE.
What is the specialty for EDWARD T KIMBLE?The Specialty of EDWARD T KIMBLE is Specialist.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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