Koby Kimball, PA-C
NPI #1184338550 in Springfield, Illinois
Provider Information
- NPI Number
- 1184338550
- Entity Type
- Individual
- Name
- Koby Kimball, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 10, 2023
- Last Updated
- Sep 16, 2025
Practice Location
- Address
- 619 E MASON ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62701-1034
- Phone
- (217) 788-0706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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