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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE P KIMBALL, D.O.

Active

SHANE P KIMBALL, D.O. is a Nephrology healthcare provider located in LITTLE ROCK, Arkansas. NPI 1396747606 is currently active in the NPPES registry. Verify at CMS.

Nephrology · LITTLE ROCK, AR

Registration Details

NPI Number
1396747606
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2005 (21.166341223367 yrs)
Last Updated
May 2, 2019
License
E3391 (AR)

Practice Information

Address
9601 BAPTIST HEALTH DR STE 400
LITTLE ROCK, AR, 722056399
Browse AR providers · Browse ZIP 72205
Phone
5012242141
Fax
0152240506
Primary Specialty
Nephrology
207RN0300X

Other Nephrology Providers in LITTLE ROCK, AR

Name Credential NPI
DR. JOHN KEVIN HEIFNER M.D. 1588666895
DR. JOE B PEVAHOUSE M.D. 1922000231
FAKHAR IJAZ MD 1487653820
ALEX S DAVID M.D. 1437140373
NOEL M MEDEL M.D. 1063403913
GREGORY S BIENVENU M.D. 1053302893
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.