Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIM R KIMBAL, ATC, LAT, LMT, CSCS
Active Sole ProprietorJIM R KIMBAL, ATC, LAT, LMT, CSCS is a Athletic Trainer healthcare provider located in FAIRBANKS, Alaska. NPI 1114985322 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FAIRBANKS, AK
Registration Details
- NPI Number
- 1114985322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.237268969499 yrs)
- Last Updated
- Sep 28, 2020
- Licenses
-
10650493-4810 (UT)227005348 (IL)117476 (AK)124560 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1650 COWLES STREETFMH REHAB DEPARTMENTFAIRBANKS, AK, 99701Browse AK providers · Browse ZIP 99701
- Phone
- 9074585670
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Massage Therapist
- Additional Specialty
- Massage Therapist
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| MS. HEIDI JEAN RITCHIE | ATC | 1164546099 |
| JEREMY SCOTT LINDGREN | ATC | 1275805707 |
| ANDREA KAY HARRIS | ATC | 1598021651 |
| DAVID BOYD | ATC | 1124405618 |
| NICHOLAS MENIETTTI | ATC | 1831541184 |
| KEI FLECHSING | — | 1043720550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.