Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIOT KIMBALL
ActiveELLIOT KIMBALL is a Occupational Therapy Assistant healthcare provider located in MIDWEST CITY, Oklahoma. NPI 1912315409 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MIDWEST CITY, OK
Registration Details
- NPI Number
- 1912315409
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2014 (12.067386535707 yrs)
- Last Updated
- Jul 28, 2014
- License
-
H082956414 (OK)
Practice Information
- Address
-
316 S MIDWEST BLVDMIDWEST CITY, OK, 731104642Browse OK providers · Browse ZIP 73110
- Phone
- 4057335437
- Fax
- 4057327741
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
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.