Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL CLARK KIMBALL, PH.D., L.M.T.
Active Sole ProprietorDR. PAUL CLARK KIMBALL, PH.D., L.M.T. is a Massage Therapist healthcare provider located in OLNEY, Maryland. NPI 1508467606 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · OLNEY, MD
Registration Details
- NPI Number
- 1508467606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2020 (5.8190986889881 yrs)
- Last Updated
- Nov 4, 2020
- License
-
M05490 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3631 MARTINS DAIRY CIROLNEY, MD, 208322451Browse MD providers · Browse ZIP 20832
- Phone
- 3014558688
- Primary Specialty
-
Massage Therapist
225700000X
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.