MARY K KIMBROUGH (NPI# 1457561706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457561706 |
| Entity Type | Individual |
| Full Name | MARY K KIMBROUGH |
| Other Name | MARY KATHERINE WHITLOCK |
| Credential | MD |
| Practice Address |
4301 W Markham St # 520 Little Rock AR 72205-7101 |
| Mailing Address |
4301 W Markham St # 783 Little Rock AR 72205-7101 |
| Practice Telephone | 5016866648 |
| Practice Fax Number | 5016867280 |
| Mailing Telephone | 5016868000 |
| Mailing Fax Number | 5015265148 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
E-8211 | AR | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
202330 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679126973 | Mary Richel Kimbrough | Physical Therapist | 355 Ozark Trail Dr Ste 1, Ellisville, MO 63011-2164 | 2019-07-17 |
| 1891355640 | Mary Elizabeth Kimbrough | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2019-06-14 |
| Street Address |
4301 W MARKHAM ST # 520 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497765010 | Tiffany Michelle Padilla | Nurse Practitioner | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2006-08-08 |
| 1285263731 | Harrison W Winslow | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2020-04-06 |
| 1164051801 | Zachary Lee Schwartz | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2020-04-04 |
| 1093344814 | Levi Daniel Watson | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2020-04-03 |
| 1558990507 | Alison Ranee Wenholz | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2020-04-02 |
| 1164051272 | Joseph Deloach | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2020-04-02 |
| 1518596634 | Megan Maria White | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2020-04-02 |
| 1598394405 | Abigail Leigh Deloach | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2020-04-02 |
| 1063973055 | Lauren Wayman | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2019-03-31 |
| 1598226748 | Sarah Martin | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972921443 | Matthew Luke Roberts | Surgery | 4100 Outpatient Circle, 616, Little Rock, AR 72205 | 2014-04-02 |
| 1942862586 | Joseph Frank Margolick | Surgery | 4100 Outpatient Circle, Little Rock, AR 72205-0000 | 2019-07-03 |
| 1477787091 | Esther Huah-chi Teo | Surgery | 1 Childrens Way # 210, Little Rock, AR 72202-3500 | 2009-05-11 |
| 1679663249 | Joseph Jensen | Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on MARY K KIMBROUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.