Russell B Kimball, PA-C

NPI #1841380235 in Augusta, Maine

Provider Information

NPI Number: 1841380235
Entity Type: Individual
Name: Russell B Kimball, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 250 ARSENAL ST
City: Augusta
State: Maine
ZIP Code: 04333-0011
Phone: (207) 624-4657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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